Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.88 / $535.00 / $8,229.00	Facility		$172.88	$535.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.51 / $328.74 / $594.04	Professional		$168.51	$328.74	$594.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.26 / $150.26 / $210.37	Professional		$150.26	$150.26	$210.37
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 $177.64 / $300.62 / $550.69	Professional		$177.64	$300.62	$550.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.74 / $226.14 / $260.87	Facility		$157.74	$226.14	$260.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.68 / $227.76 / $374.01	Professional		$177.68	$227.76	$374.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $297.22 / $457.73	Facility		$297.22	$297.22	$457.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.67 / $501.87 / $930.60	Professional		$262.67	$501.87	$930.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $337.22	Professional		$32.34	$32.34	$337.22
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.75 / $636.04 / $1,042.83	Professional		$424.75	$636.04	$1,042.83