Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.12 / $347.36 / $5,468.24	Facility		$134.12	$347.36	$5,468.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.27 / $214.90 / $314.76	Professional		$125.27	$214.90	$314.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.39 / $266.39 / $324.30	Professional		$266.39	$266.39	$324.30
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 $125.80 / $161.43 / $261.16	Professional		$125.80	$161.43	$261.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.16 / $165.80 / $193.56	Facility		$136.16	$165.80	$193.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.49 / $193.56 / $463.28	Professional		$130.49	$193.56	$463.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.57 / $245.62 / $245.62	Facility		$203.57	$245.62	$245.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $239.21 / $435.84	Professional		$145.69	$239.21	$435.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $301.13	Professional		$32.34	$32.34	$301.13
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 $192.64 / $247.29 / $401.71	Professional		$192.64	$247.29	$401.71