Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.24 / $248.60 / $3,740.00	Facility		$144.24	$248.60	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $175.30 / $248.60	Professional		$131.91	$175.30	$248.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.23 / $88.23 / $108.92	Professional		$88.23	$88.23	$108.92
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 $120.27 / $148.16 / $231.47	Professional		$120.27	$148.16	$231.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.86 / $180.05 / $210.21	Facility		$147.86	$180.05	$210.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.71 / $210.21 / $369.38	Professional		$141.71	$210.21	$369.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.37 / $266.74 / $1,111.00	Facility		$178.37	$266.74	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $191.91 / $366.48	Professional		$136.91	$191.91	$366.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $240.10	Professional		$32.34	$32.34	$240.10
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.11 / $207.69 / $338.11	Professional		$166.11	$207.69	$338.11