Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.49 / $327.05 / $3,740.00	Facility		$212.49	$327.05	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.20 / $235.77 / $318.26	Professional		$191.20	$235.77	$318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $244.96 / $244.96 / $244.96	Professional		$244.96	$244.96	$244.96
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 $180.20 / $217.26 / $324.52	Professional		$180.20	$217.26	$324.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.88 / $259.22 / $302.63	Facility		$212.88	$259.22	$302.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $189.82 / $295.38 / $512.72	Professional		$189.82	$295.38	$512.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.53 / $384.03 / $1,111.00	Facility		$195.53	$384.03	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.42 / $272.22 / $513.75	Professional		$205.42	$272.22	$513.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $333.27	Professional		$32.34	$32.34	$333.27
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 $225.48 / $291.95 / $458.10	Professional		$225.48	$291.95	$458.10