Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.39 / $409.04 / $3,740.00	Facility		$194.39	$409.04	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.08 / $228.55 / $314.07	Professional		$160.08	$228.55	$314.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.50 / $155.84 / $205.71	Professional		$120.50	$155.84	$205.71
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 $136.62 / $190.17 / $296.87	Professional		$136.62	$190.17	$296.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.72 / $238.57 / $270.08	Facility		$176.72	$238.57	$270.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.90 / $277.45 / $398.94	Professional		$220.90	$277.45	$398.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.59 / $325.16 / $1,111.00	Facility		$181.59	$325.16	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $250.77 / $422.08	Professional		$162.63	$250.77	$422.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $324.14	Professional		$32.34	$32.34	$324.14
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 $210.75 / $269.56 / $441.83	Professional		$210.75	$269.56	$441.83