Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,513.56 / $6,309.57	Facility		$147.91	$1,513.56	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $194.98 / $354.81	Professional		$83.18	$194.98	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $229.09	Professional		$81.28	$109.65	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $173.78 / $263.03	Professional		$81.28	$173.78	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $123.03 / $144.54	Facility		$89.13	$123.03	$144.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $147.91	Professional		$91.20	$125.89	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $165.96 / $165.96	Facility		$34.67	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $288.40 / $1,122.02	Professional		$114.82	$288.40	$1,122.02
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 $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $199.53 / $380.19	Professional		$91.20	$199.53	$380.19