Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.19 / $189.27 / $3,740.00	Facility		$101.19	$189.27	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.49 / $157.69 / $217.78	Professional		$105.49	$157.69	$217.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.06 / $172.06 / $172.06	Professional		$172.06	$172.06	$172.06
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 $97.58 / $129.43 / $199.40	Professional		$97.58	$129.43	$199.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.46 / $139.36 / $162.69	Facility		$114.46	$139.36	$162.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.21 / $168.19 / $344.12	Professional		$112.21	$168.19	$344.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.27 / $206.47 / $206.47	Facility		$123.27	$206.47	$206.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.93 / $168.13 / $288.31	Professional		$113.93	$168.13	$288.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $223.68	Professional		$32.34	$32.34	$223.68
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 $146.38 / $189.97 / $305.00	Professional		$146.38	$189.97	$305.00