Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $2,290.87 / $5,754.40	Facility		$114.82	$2,290.87	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $208.93 / $371.54	Professional		$85.11	$208.93	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $181.97	Professional		$91.20	$107.15	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,951.21	Facility		$1,258.93	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $190.55 / $295.12	Professional		$79.43	$190.55	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $123.03 / $147.91	Facility		$89.13	$123.03	$147.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $151.36	Professional		$83.18	$128.82	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $169.82 / $169.82	Facility		$34.67	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $323.59 / $1,202.26	Professional		$114.82	$323.59	$1,202.26
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 $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $213.80 / $426.58	Professional		$93.33	$213.80	$426.58