Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.13 / $1,361.00 / $6,803.95	Facility		$137.13	$1,361.00	$6,803.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.93 / $152.21 / $218.29	Professional		$112.93	$152.21	$218.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.84 / $94.84 / $159.83	Professional		$94.84	$94.84	$159.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,889.00 / $8,766.00	Facility		$2,088.00	$3,889.00	$8,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.41 / $129.21 / $193.13	Professional		$100.41	$129.21	$193.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $168.29 / $189.62	Facility		$124.66	$168.29	$189.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.35 / $178.22 / $263.72	Professional		$148.35	$178.22	$263.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.51 / $229.37 / $1,111.00	Facility		$149.51	$229.37	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.10 / $167.18 / $314.81	Professional		$118.10	$167.18	$314.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $207.78	Professional		$32.34	$32.34	$207.78
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 $140.21 / $177.49 / $296.38	Professional		$140.21	$177.49	$296.38