Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.67 / $475.81 / $2,747.00	Facility		$177.67	$475.81	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.35 / $247.56 / $383.41	Professional		$156.35	$247.56	$383.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $256.29 / $282.24 / $402.35	Professional		$256.29	$282.24	$402.35
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 $129.97 / $189.97 / $320.20	Professional		$129.97	$189.97	$320.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.48 / $234.20 / $263.99	Facility		$173.48	$234.20	$263.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $216.85 / $295.05 / $429.17	Professional		$216.85	$295.05	$429.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.84 / $319.20 / $319.20	Facility		$223.84	$319.20	$319.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.73 / $289.77 / $530.73	Professional		$186.73	$289.77	$530.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $348.70	Professional		$32.34	$32.34	$348.70
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 $235.87 / $297.93 / $477.84	Professional		$235.87	$297.93	$477.84