Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,513.56 / $5,495.41	Facility		$128.82	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $316.23	Professional		$114.82	$173.78	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $4,365.16	Facility		$1,479.11	$2,344.23	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $234.42	Professional		$114.82	$158.49	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $151.36 / $177.83	Facility		$120.23	$151.36	$177.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $204.17	Professional		$109.65	$165.96	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $1,659.59	Facility		$229.09	$229.09	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $954.99	Professional		$131.83	$213.80	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $288.40	Professional		$128.82	$186.21	$288.40