Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.20 / $520.12 / $5,320.00	Facility		$193.20	$520.12	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.16 / $269.97 / $381.56	Professional		$173.16	$269.97	$381.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $282.51 / $369.58 / $443.51	Professional		$282.51	$369.58	$443.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,059.00	Facility		$1,359.00	$2,292.00	$4,059.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.60 / $210.73 / $310.50	Professional		$146.60	$210.73	$310.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.63 / $233.33 / $272.41	Facility		$191.63	$233.33	$272.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.87 / $272.41 / $591.34	Professional		$170.87	$272.41	$591.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.10 / $345.68 / $1,587.00	Facility		$194.10	$345.68	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.34 / $303.51 / $551.95	Professional		$193.34	$303.51	$551.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $384.37	Professional		$32.34	$32.34	$384.37
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 $233.85 / $303.73 / $515.62	Professional		$233.85	$303.73	$515.62