Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.99 / $271.51 / $5,113.26	Facility		$132.99	$271.51	$5,113.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $148.37 / $210.86	Professional		$111.25	$148.37	$210.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $88.44 / $88.44	Professional		$88.44	$88.44	$88.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,045.00 / $2,978.00	Facility		$1,066.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.27 / $124.72 / $188.51	Professional		$96.27	$124.72	$188.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.32 / $150.16 / $175.31	Facility		$123.32	$150.16	$175.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.96 / $176.88 / $307.62	Professional		$109.96	$176.88	$307.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.41 / $222.46 / $1,111.00	Facility		$139.41	$222.46	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.08 / $160.33 / $303.54	Professional		$115.08	$160.33	$303.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $199.95	Professional		$32.34	$32.34	$199.95
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 $136.12 / $170.84 / $299.50	Professional		$136.12	$170.84	$299.50