Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $1,778.28 / $4,677.35	Facility		$97.72	$1,778.28	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $295.12 / $660.69	Professional		$72.44	$295.12	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $104.71 / $338.84	Professional		$43.65	$104.71	$338.84
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 $70.79 / $295.12 / $489.78	Professional		$70.79	$295.12	$489.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $104.71 / $144.54	Facility		$75.86	$104.71	$144.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $323.59 / $446.68	Professional		$97.72	$323.59	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $141.25 / $141.25	Facility		$34.67	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $524.81 / $1,905.46	Professional		$97.72	$524.81	$1,905.46
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 $79.43 / $309.03 / $707.95	Professional		$79.43	$309.03	$707.95