Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.83 / $444.93 / $5,320.00	Facility		$227.83	$444.93	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.41 / $317.89 / $454.80	Professional		$208.41	$317.89	$454.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.30 / $164.30 / $481.46	Professional		$164.30	$164.30	$481.46
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 $208.76 / $252.97 / $391.50	Professional		$208.76	$252.97	$391.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $226.36 / $275.62 / $321.77	Facility		$226.36	$275.62	$321.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $221.92 / $318.30 / $499.32	Professional		$221.92	$318.30	$499.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.27 / $408.33 / $1,587.00	Facility		$264.27	$408.33	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.55 / $368.46 / $657.08	Professional		$249.55	$368.46	$657.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $447.07	Professional		$32.34	$32.34	$447.07
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 $297.56 / $388.93 / $621.40	Professional		$297.56	$388.93	$621.40