Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.03 / $385.53 / $6,742.30	Facility		$103.03	$385.53	$6,742.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $122.80 / $172.00	Professional		$86.35	$122.80	$172.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.55 / $124.55 / $124.55	Professional		$124.55	$124.55	$124.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,045.00 / $2,978.00	Facility		$1,066.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $94.05 / $158.00	Professional		$66.90	$94.05	$158.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.81 / $129.34 / $145.44	Facility		$95.81	$129.34	$145.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.76 / $150.32 / $215.57	Professional		$119.76	$150.32	$215.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.14 / $176.29 / $176.29	Facility		$116.14	$176.29	$176.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.81 / $145.09 / $247.28	Professional		$95.81	$145.09	$247.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $174.33	Professional		$32.34	$32.34	$174.33
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.82 / $148.07 / $234.72	Professional		$111.82	$148.07	$234.72