Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $398.11 / $3,890.45	Facility		$245.47	$398.11	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $467.74	Professional		$186.21	$245.47	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $309.03	Professional		$141.25	$169.82	$309.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $245.47 / $316.23	Facility		$165.96	$245.47	$316.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $323.59	Professional		$177.83	$263.03	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $363.08 / $363.08	Facility		$34.67	$363.08	$363.08
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	54	$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $1,698.24	Professional		$223.87	$338.84	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $131.83	Professional		$32.36	$33.11	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $426.58	Professional		$186.21	$251.19	$426.58