Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.30 / $302.62 / $3,740.00	Facility		$99.30	$302.62	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $143.10 / $271.83	Professional		$90.40	$143.10	$271.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.56 / $128.56 / $160.69	Professional		$128.56	$128.56	$160.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,045.00 / $2,978.00	Facility		$1,066.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.44 / $193.28 / $277.60	Professional		$152.44	$193.28	$277.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.94 / $129.52 / $150.21	Facility		$95.94	$129.52	$150.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $141.41 / $212.12	Professional		$115.13	$141.41	$212.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.53 / $176.53 / $200.49	Facility		$176.53	$176.53	$200.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $216.88 / $406.90	Professional		$111.01	$216.88	$406.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $167.13	Professional		$32.34	$32.34	$167.13
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.38 / $213.55 / $294.44	Professional		$136.38	$213.55	$294.44