Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.12 / $267.56 / $4,667.26	Facility		$107.12	$267.56	$4,667.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.29 / $139.81 / $250.22	Professional		$95.29	$139.81	$250.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.79 / $76.18 / $87.61	Professional		$72.79	$76.18	$87.61
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 $89.14 / $113.92 / $187.10	Professional		$89.14	$113.92	$187.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.55 / $142.49 / $160.62	Facility		$105.55	$142.49	$160.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $167.60 / $243.78	Professional		$125.60	$167.60	$243.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.85 / $194.21 / $1,111.00	Facility		$143.85	$194.21	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.47 / $153.96 / $298.07	Professional		$100.47	$153.96	$298.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $198.07	Professional		$32.34	$32.34	$198.07
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $2,525.00	Facility		$391.00	$950.00	$2,525.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.74 / $169.08 / $279.12	Professional		$126.74	$169.08	$279.12