Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.19 / $557.00 / $5,320.00	Facility		$182.19	$557.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.79 / $308.64 / $575.80	Professional		$172.79	$308.64	$575.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.26 / $198.76 / $223.78	Professional		$136.26	$198.76	$223.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.92 / $321.81 / $599.89	Professional		$206.92	$321.81	$599.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.72 / $231.88 / $267.50	Facility		$161.72	$231.88	$267.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.56 / $238.96 / $380.09	Professional		$180.56	$238.96	$380.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.76 / $304.76 / $506.27	Facility		$304.76	$304.76	$506.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.86 / $550.74 / $969.37	Professional		$262.86	$550.74	$969.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $344.03	Professional		$32.34	$32.34	$344.03
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,396.50 / $6,295.00	Facility		$599.00	$2,396.50	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.12 / $644.61 / $1,033.97	Professional		$465.12	$644.61	$1,033.97