Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.72 / $326.85 / $4,230.80	Facility		$167.72	$326.85	$4,230.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.93 / $195.18 / $277.86	Professional		$150.93	$195.18	$277.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.44 / $102.44 / $102.44	Professional		$102.44	$102.44	$102.44
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 $140.13 / $169.83 / $256.86	Professional		$140.13	$169.83	$256.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.59 / $204.06 / $238.24	Facility		$167.59	$204.06	$238.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.44 / $234.82 / $409.74	Professional		$180.44	$234.82	$409.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.42 / $302.31 / $1,111.00	Facility		$202.42	$302.31	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.44 / $215.67 / $408.47	Professional		$159.44	$215.67	$408.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $266.33	Professional		$32.34	$32.34	$266.33
United Facility/Professional Facility Modifier Low / Median / High Price $413.00 / $1,196.72 / $2,525.00	Facility		$413.00	$1,196.72	$2,525.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.86 / $231.78 / $430.70	Professional		$184.86	$231.78	$430.70