Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.58 / $448.46 / $3,740.00	Facility		$187.58	$448.46	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.28 / $342.18 / $523.04	Professional		$159.28	$342.18	$523.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.33 / $235.33 / $235.33	Professional		$235.33	$235.33	$235.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $152.09 / $316.39	Professional		$125.51	$152.09	$316.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.37 / $238.74 / $275.41	Facility		$167.37	$238.74	$275.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $187.58 / $245.11 / $605.47	Professional		$187.58	$245.11	$605.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.77 / $313.77 / $369.43	Facility		$313.77	$313.77	$369.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.45 / $408.66 / $732.26	Professional		$199.45	$408.66	$732.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $530.00	Professional		$32.34	$32.34	$530.00
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.35 / $508.79 / $780.95	Professional		$346.35	$508.79	$780.95