Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.56 / $186.73 / $3,740.00	Facility		$118.56	$186.73	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.43 / $141.56 / $179.91	Professional		$108.43	$141.56	$179.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.97 / $144.97 / $144.97	Professional		$144.97	$144.97	$144.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $126.03 / $188.16	Professional		$104.01	$126.03	$188.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.14 / $142.63 / $166.53	Facility		$117.14	$142.63	$166.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.53 / $165.55 / $258.41	Professional		$125.53	$165.55	$258.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.03 / $211.32 / $3,236.00	Facility		$144.03	$211.32	$3,236.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.93 / $171.20 / $310.33	Professional		$124.93	$171.20	$310.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $197.25	Professional		$32.34	$32.34	$197.25
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,326.00	Facility		$50.00	$597.00	$3,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.37 / $178.76 / $283.77	Professional		$142.37	$178.76	$283.77