Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.39 / $472.69 / $5,320.00	Facility		$255.39	$472.69	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.74 / $283.12 / $370.03	Professional		$224.74	$283.12	$370.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $142.38 / $142.38	Professional		$142.38	$142.38	$142.38
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 $215.39 / $265.57 / $377.72	Professional		$215.39	$265.57	$377.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $253.75 / $308.99 / $360.73	Facility		$253.75	$308.99	$360.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $243.18 / $350.78 / $598.55	Professional		$243.18	$350.78	$598.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.18 / $457.76 / $1,587.00	Facility		$205.18	$457.76	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.21 / $318.94 / $566.49	Professional		$241.21	$318.94	$566.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $389.06	Professional		$32.34	$32.34	$389.06
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $1,945.00 / $5,995.00	Facility		$599.00	$1,945.00	$5,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.38 / $342.90 / $566.49	Professional		$270.38	$342.90	$566.49