Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $457.09 / $2,818.38	Facility		$141.25	$457.09	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $239.88 / $436.52	Professional		$128.82	$239.88	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $407.38	Professional		$162.18	$251.19	$407.38
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 $117.49 / $165.96 / $239.88	Professional		$117.49	$165.96	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $173.78 / $204.17	Facility		$134.90	$173.78	$204.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $323.59	Professional		$151.36	$245.47	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $251.19 / $257.04	Facility		$34.67	$251.19	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $1,230.27	Professional		$151.36	$263.03	$1,230.27
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 $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $346.74	Professional		$131.83	$199.53	$346.74