Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.74 / $472.14 / $2,747.00	Facility		$205.74	$472.14	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.15 / $378.08 / $542.29	Professional		$214.15	$378.08	$542.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.82 / $167.82 / $167.82	Professional		$167.82	$167.82	$167.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.09 / $324.11 / $548.24	Professional		$175.09	$324.11	$548.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.62 / $321.02 / $370.33	Facility		$223.62	$321.02	$370.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $252.23 / $323.31 / $589.04	Professional		$252.23	$323.31	$589.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.14 / $421.91 / $421.91	Facility		$350.14	$421.91	$421.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.61 / $449.60 / $871.61	Professional		$261.61	$449.60	$871.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $534.85	Professional		$32.34	$32.34	$534.85
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.73 / $569.74 / $865.43	Professional		$410.73	$569.74	$865.43