Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.92 / $191.82 / $3,740.00	Facility		$100.92	$191.82	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $160.79 / $199.63	Professional		$100.92	$160.79	$199.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $87.19 / $87.19	Professional		$87.19	$87.19	$87.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,059.00	Facility		$1,359.00	$2,292.00	$4,059.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $125.40 / $197.80	Professional		$82.73	$125.40	$197.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.64 / $138.37 / $161.54	Facility		$113.64	$138.37	$161.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.41 / $161.54 / $348.76	Professional		$111.41	$161.54	$348.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.66 / $204.99 / $1,111.00	Facility		$131.66	$204.99	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $160.00 / $300.49	Professional		$101.26	$160.00	$300.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $226.69	Professional		$32.34	$32.34	$226.69
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 $145.34 / $186.71 / $311.85	Professional		$145.34	$186.71	$311.85