Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $199.53 / $2,884.03	Facility		$102.33	$199.53	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $186.21	Professional		$69.18	$114.82	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $89.13 / $204.17	Professional		$51.29	$89.13	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,951.21	Facility		$1,258.93	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $134.90	Professional		$57.54	$81.28	$134.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $95.50 / $112.20	Facility		$64.57	$95.50	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $169.82	Professional		$89.13	$123.03	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $1,318.26	Facility		$141.25	$141.25	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $602.56	Professional		$74.13	$123.03	$602.56
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 $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $169.82	Professional		$66.07	$104.71	$169.82