Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.41 / $532.09 / $5,320.00	Facility		$245.41	$532.09	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.02 / $319.24 / $505.47	Professional		$219.02	$319.24	$505.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.46 / $212.91 / $322.27	Professional		$106.46	$212.91	$322.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.53 / $204.91 / $399.83	Professional		$167.53	$204.91	$399.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.70 / $312.33 / $360.32	Facility		$221.70	$312.33	$360.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $244.14 / $316.20 / $501.98	Professional		$244.14	$316.20	$501.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.50 / $410.50 / $497.72	Facility		$410.50	$410.50	$497.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.20 / $421.80 / $721.87	Professional		$280.20	$421.80	$721.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $94.19 / $365.86	Professional		$32.34	$94.19	$365.86
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $1,700.00 / $6,295.00	Facility		$599.00	$1,700.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.29 / $440.65 / $708.69	Professional		$326.29	$440.65	$708.69