Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.90 / $453.20 / $6,039.97	Facility		$136.90	$453.20	$6,039.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.79 / $169.10 / $289.20	Professional		$122.79	$169.10	$289.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $92.83 / $170.78	Professional		$84.56	$92.83	$170.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,684.00 / $8,766.00	Facility		$2,088.00	$3,684.00	$8,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.24 / $139.28 / $213.48	Professional		$109.24	$139.28	$213.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.29 / $185.34 / $209.85	Facility		$137.29	$185.34	$209.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.61 / $203.55 / $292.05	Professional		$171.61	$203.55	$292.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.44 / $252.61 / $1,111.00	Facility		$163.44	$252.61	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.87 / $181.12 / $344.44	Professional		$127.87	$181.12	$344.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $230.10	Professional		$32.34	$32.34	$230.10
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 $155.06 / $190.31 / $313.30	Professional		$155.06	$190.31	$313.30