Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.70 / $535.00 / $5,320.00	Facility		$170.70	$535.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.02 / $218.94 / $292.99	Professional		$155.02	$218.94	$292.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.82 / $108.82 / $119.59	Professional		$108.82	$108.82	$119.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.26 / $183.45 / $297.32	Professional		$146.26	$183.45	$297.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.58 / $206.49 / $241.08	Facility		$169.58	$206.49	$241.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.25 / $241.08 / $478.34	Professional		$182.25	$241.08	$478.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.79 / $305.92 / $1,111.00	Facility		$216.79	$305.92	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.47 / $247.54 / $435.54	Professional		$165.47	$247.54	$435.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $310.92	Professional		$32.34	$32.34	$310.92
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 $214.80 / $276.85 / $432.63	Professional		$214.80	$276.85	$432.63