Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.73 / $304.70 / $5,320.00	Facility		$127.73	$304.70	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.07 / $209.34 / $326.13	Professional		$118.07	$209.34	$326.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.93 / $103.93 / $103.93	Professional		$103.93	$103.93	$103.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,066.00	Facility		$1,258.00	$2,316.00	$4,066.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.24 / $105.34 / $204.17	Professional		$86.24	$105.34	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.99 / $171.18 / $197.47	Facility		$120.99	$171.18	$197.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.50 / $174.06 / $323.29	Professional		$134.50	$174.06	$323.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.98 / $224.98 / $357.04	Facility		$224.98	$224.98	$357.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $264.08 / $458.86	Professional		$154.69	$264.08	$458.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.09 / $230.92	Professional		$32.34	$50.09	$230.92
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.21 / $314.85 / $499.71	Professional		$213.21	$314.85	$499.71