Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $481.01 / $5,320.00	Facility		$129.12	$481.01	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.90 / $253.29 / $398.93	Professional		$124.90	$253.29	$398.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $75.50 / $78.52	Professional		$75.50	$75.50	$78.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.78 / $225.90 / $349.34	Professional		$114.78	$225.90	$349.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.22 / $169.12 / $195.09	Facility		$123.22	$169.12	$195.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $193.28 / $351.81	Professional		$143.75	$193.28	$351.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.79 / $222.27 / $222.27	Facility		$186.79	$222.27	$222.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.78 / $279.39 / $604.91	Professional		$155.78	$279.39	$604.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.02 / $422.79 / $531.40	Professional		$278.02	$422.79	$531.40