Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.16 / $276.02 / $3,740.00	Facility		$137.16	$276.02	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $164.98 / $236.62	Professional		$123.43	$164.98	$236.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.36 / $83.36 / $156.63	Professional		$83.36	$83.36	$156.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,684.00 / $8,766.00	Facility		$2,088.00	$3,684.00	$8,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.72 / $137.69 / $209.66	Professional		$108.72	$137.69	$209.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $182.38 / $214.58	Facility		$148.19	$182.38	$214.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.11 / $197.95 / $344.26	Professional		$134.11	$197.95	$344.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.25 / $246.76 / $1,111.00	Facility		$163.25	$246.76	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.60 / $180.79 / $341.60	Professional		$127.60	$180.79	$341.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $223.77	Professional		$32.34	$32.34	$223.77
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 $154.96 / $195.97 / $314.83	Professional		$154.96	$195.97	$314.83