Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.58 / $510.31 / $2,747.00	Facility		$118.58	$510.31	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.34 / $312.69 / $510.31	Professional		$136.34	$312.69	$510.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $79.45 / $79.45	Professional		$79.45	$79.45	$79.45
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 $180.02 / $284.56 / $468.70	Professional		$180.02	$284.56	$468.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.66 / $183.13 / $211.26	Facility		$128.66	$183.13	$211.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $187.23 / $316.05	Professional		$143.88	$187.23	$316.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.69 / $240.69 / $399.76	Facility		$240.69	$240.69	$399.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.58 / $483.18 / $812.94	Professional		$226.58	$483.18	$812.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $283.63	Professional		$32.34	$32.34	$283.63
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 $402.37 / $550.50 / $842.95	Professional		$402.37	$550.50	$842.95