Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.15 / $416.00 / $3,740.00	Facility		$93.15	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.71 / $141.75 / $189.76	Professional		$84.71	$141.75	$189.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.47 / $147.47 / $206.47	Professional		$147.47	$147.47	$206.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,045.00 / $2,978.00	Facility		$1,066.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $127.11 / $219.09	Professional		$104.89	$127.11	$219.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.17 / $121.73 / $137.46	Facility		$90.17	$121.73	$137.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.71 / $162.22 / $235.97	Professional		$112.71	$162.22	$235.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.22 / $165.91 / $1,111.00	Facility		$144.22	$165.91	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $161.60 / $331.25	Professional		$97.01	$161.60	$331.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $191.72	Professional		$32.34	$32.34	$191.72
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 $136.13 / $177.85 / $306.13	Professional		$136.13	$177.85	$306.13