Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.90 / $637.00 / $3,914.05	Facility		$182.90	$637.00	$3,914.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.22 / $317.20 / $529.79	Professional		$168.22	$317.20	$529.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.02 / $81.06 / $124.70	Professional		$77.02	$81.06	$124.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,769.00	Facility		$1,643.00	$3,498.00	$8,769.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.22 / $243.84 / $441.88	Professional		$201.22	$243.84	$441.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.47 / $232.78 / $268.52	Facility		$161.47	$232.78	$268.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $241.09 / $489.31	Professional		$182.24	$241.09	$489.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.94 / $305.94 / $521.66	Facility		$305.94	$305.94	$521.66
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $30.59 / $30.59 / $30.59	Facility	AS	$30.59	$30.59	$30.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.21 / $480.47 / $840.74	Professional		$233.21	$480.47	$840.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $436.68	Professional		$32.34	$32.34	$436.68
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.07 / $548.14 / $804.54	Professional		$378.07	$548.14	$804.54