Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.10 / $249.04 / $5,468.24	Facility		$101.10	$249.04	$5,468.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.07 / $132.84 / $192.46	Professional		$92.07	$132.84	$192.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.60 / $137.60 / $137.60	Professional		$137.60	$137.60	$137.60
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 $86.79 / $109.23 / $172.07	Professional		$86.79	$109.23	$172.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.93 / $134.91 / $151.94	Facility		$99.93	$134.91	$151.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.91 / $158.40 / $226.61	Professional		$124.91	$158.40	$226.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.27 / $183.87 / $1,111.00	Facility		$116.27	$183.87	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $146.33 / $284.10	Professional		$98.53	$146.33	$284.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $184.12	Professional		$32.34	$32.34	$184.12
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 $128.61 / $158.93 / $254.85	Professional		$128.61	$158.93	$254.85