Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.87 / $373.17 / $8,229.00	Facility		$165.87	$373.17	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.53 / $193.42 / $264.68	Professional		$150.53	$193.42	$264.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.63 / $97.63 / $150.19	Professional		$97.63	$97.63	$150.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,229.00	Facility		$1,359.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.35 / $171.29 / $256.32	Professional		$141.35	$171.29	$256.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $207.66 / $242.44	Facility		$170.54	$207.66	$242.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.64 / $240.11 / $429.14	Professional		$183.64	$240.11	$429.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.19 / $307.64 / $1,587.00	Facility		$145.19	$307.64	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.47 / $222.19 / $422.57	Professional		$159.47	$222.19	$422.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $278.94	Professional		$32.34	$32.34	$278.94
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 $190.93 / $238.91 / $405.56	Professional		$190.93	$238.91	$405.56