Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $416.87 / $3,890.45	Facility		$151.36	$416.87	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $239.88	Professional		$100.00	$158.49	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $134.90	Professional		$91.20	$91.20	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $199.53	Professional		$85.11	$125.89	$199.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $138.04 / $162.18	Facility		$109.65	$138.04	$162.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $181.97	Professional		$112.20	$154.88	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $204.17 / $1,318.26	Facility		$190.55	$204.17	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $912.01	Professional		$104.71	$186.21	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $263.03	Professional		$100.00	$154.88	$263.03