Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.26 / $400.00 / $3,740.00	Facility		$159.26	$400.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.91 / $328.72 / $501.86	Professional		$162.91	$328.72	$501.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $355.16 / $383.25 / $545.82	Professional		$355.16	$383.25	$545.82
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 $155.72 / $258.69 / $443.04	Professional		$155.72	$258.69	$443.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.82 / $234.66 / $266.39	Facility		$173.82	$234.66	$266.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $217.28 / $400.27 / $582.21	Professional		$217.28	$400.27	$582.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.83 / $319.83 / $319.83	Facility		$319.83	$319.83	$319.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.62 / $375.11 / $719.68	Professional		$179.62	$375.11	$719.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $473.04	Professional		$32.34	$32.34	$473.04
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 $337.98 / $407.81 / $628.61	Professional		$337.98	$407.81	$628.61