Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.42 / $337.97 / $2,747.00	Facility		$192.42	$337.97	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.28 / $217.00 / $395.85	Professional		$186.28	$217.00	$395.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.05 / $206.05 / $270.73	Professional		$206.05	$206.05	$270.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.26 / $167.83 / $315.95	Professional		$131.26	$167.83	$315.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.34 / $270.73 / $312.30	Facility		$192.34	$270.73	$312.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $189.03 / $270.73 / $429.30	Professional		$189.03	$270.73	$429.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.82 / $355.82 / $358.99	Facility		$355.82	$355.82	$358.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.44 / $312.56 / $480.71	Professional		$219.44	$312.56	$480.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $112.10 / $236.12	Professional		$32.34	$112.10	$236.12
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $5,995.00	Facility		$599.00	$2,723.00	$5,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.05 / $277.33 / $441.74	Professional		$210.05	$277.33	$441.74