Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $794.33 / $6,025.60	Facility		$147.91	$794.33	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $281.84	Professional		$100.00	$147.91	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $302.00	Professional		$97.72	$158.49	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,073.80 / $9,549.93	Facility		$2,344.23	$4,073.80	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $154.88	Professional		$85.11	$112.20	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $134.90 / $158.49	Facility		$107.15	$134.90	$158.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $177.83	Professional		$97.72	$147.91	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $190.55 / $199.53	Facility		$34.67	$190.55	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $794.33	Professional		$123.03	$173.78	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $239.88	Professional		$104.71	$144.54	$239.88