Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,513.56 / $5,495.41	Facility		$169.82	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $354.81	Professional		$147.91	$229.09	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $251.19	Professional		$123.03	$154.88	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $309.03	Professional		$151.36	$181.97	$309.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $204.17 / $239.88	Facility		$162.18	$204.17	$239.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $275.42	Professional		$165.96	$234.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $309.03 / $1,318.26	Facility		$295.12	$309.03	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $1,479.11	Professional		$169.82	$269.15	$1,479.11
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 $162.18 / $229.09 / $371.54	Professional		$162.18	$229.09	$371.54