Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.54 / $371.87 / $5,320.00	Facility		$201.54	$371.87	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.93 / $291.64 / $385.51	Professional		$179.93	$291.64	$385.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.73 / $201.73 / $201.73	Professional		$201.73	$201.73	$201.73
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 $156.15 / $223.25 / $334.48	Professional		$156.15	$223.25	$334.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.31 / $245.12 / $286.17	Facility		$201.31	$245.12	$286.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.36 / $286.17 / $676.12	Professional		$197.36	$286.17	$676.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.09 / $363.14 / $1,587.00	Facility		$211.09	$363.14	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.85 / $315.69 / $627.20	Professional		$207.85	$315.69	$627.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $439.48	Professional		$32.34	$32.34	$439.48
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 $254.32 / $341.40 / $612.50	Professional		$254.32	$341.40	$612.50