Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.03 / $174.28 / $3,740.00	Facility		$104.03	$174.28	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.55 / $145.69 / $201.27	Professional		$91.55	$145.69	$201.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $154.87 / $237.66	Professional		$134.66	$154.87	$237.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.77 / $118.26 / $177.20	Professional		$85.77	$118.26	$177.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.42 / $136.91 / $154.26	Facility		$101.42	$136.91	$154.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.78 / $174.28 / $253.50	Professional		$126.78	$174.28	$253.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $186.61 / $186.61	Facility		$112.00	$186.61	$186.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.51 / $155.63 / $266.01	Professional		$103.51	$155.63	$266.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $205.97	Professional		$32.34	$32.34	$205.97
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $668.00 / $1,895.00	Facility		$59.00	$668.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.47 / $172.24 / $279.95	Professional		$132.47	$172.24	$279.95