Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $400.00 / $2,747.00	Facility		$142.00	$400.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $212.00 / $299.87	Professional		$130.15	$212.00	$299.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.84 / $242.51 / $322.10	Professional		$219.84	$242.51	$322.10
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 $115.00 / $158.57 / $260.50	Professional		$115.00	$158.57	$260.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.88 / $186.14 / $210.02	Facility		$137.88	$186.14	$210.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.35 / $253.08 / $368.11	Professional		$172.35	$253.08	$368.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.43 / $253.70 / $253.70	Facility		$185.43	$253.70	$253.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.02 / $233.91 / $426.81	Professional		$145.02	$233.91	$426.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $299.08	Professional		$32.34	$32.34	$299.08
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 $178.49 / $232.88 / $397.94	Professional		$178.49	$232.88	$397.94