Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.35 / $291.52 / $3,740.00	Facility		$197.35	$291.52	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.12 / $242.92 / $323.88	Professional		$179.12	$242.92	$323.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.59 / $120.59 / $132.52	Professional		$120.59	$120.59	$132.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,229.00	Facility		$1,359.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.24 / $202.83 / $314.80	Professional		$162.24	$202.83	$314.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $195.40 / $237.92 / $277.76	Facility		$195.40	$237.92	$277.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $209.91 / $274.39 / $530.05	Professional		$209.91	$274.39	$530.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.21 / $352.47 / $352.47	Facility		$215.21	$352.47	$352.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.29 / $262.69 / $449.08	Professional		$181.29	$262.69	$449.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $344.54	Professional		$32.34	$32.34	$344.54
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $1,335.00 / $3,240.48	Facility		$391.00	$1,335.00	$3,240.48
United Facility/Professional Professional Modifier Low / Median / High Price $229.95 / $298.26 / $478.26	Professional		$229.95	$298.26	$478.26