Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.40 / $308.50 / $2,847.03	Facility		$181.40	$308.50	$2,847.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.58 / $252.91 / $368.77	Professional		$168.58	$252.91	$368.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $226.19 / $261.97 / $383.84	Professional		$226.19	$261.97	$383.84
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 $144.25 / $195.18 / $292.00	Professional		$144.25	$195.18	$292.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $179.14 / $241.84 / $273.41	Facility		$179.14	$241.84	$273.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.93 / $301.58 / $438.67	Professional		$223.93	$301.58	$438.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.77 / $329.62 / $329.62	Facility		$243.77	$329.62	$329.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.42 / $289.14 / $512.09	Professional		$184.42	$289.14	$512.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $356.42	Professional		$32.34	$32.34	$356.42
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $597.00 / $1,895.00	Facility		$59.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.08 / $291.30 / $495.42	Professional		$224.08	$291.30	$495.42