Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.57 / $594.38 / $5,320.00	Facility		$200.57	$594.38	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $256.77 / $381.93	Professional		$180.90	$256.77	$381.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.97 / $139.18 / $330.99	Professional		$132.97	$139.18	$330.99
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 $150.54 / $207.49 / $327.14	Professional		$150.54	$207.49	$327.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.85 / $242.13 / $282.68	Facility		$198.85	$242.13	$282.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.56 / $279.70 / $556.70	Professional		$190.56	$279.70	$556.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.19 / $358.71 / $1,587.00	Facility		$201.19	$358.71	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.84 / $269.55 / $471.85	Professional		$178.84	$269.55	$471.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $361.86	Professional		$32.34	$32.34	$361.86
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 $236.48 / $302.14 / $500.58	Professional		$236.48	$302.14	$500.58