Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.31 / $557.00 / $8,229.00	Facility		$134.31	$557.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.81 / $541.32 / $978.07	Professional		$149.81	$541.32	$978.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.48 / $166.48 / $166.48	Professional		$166.48	$166.48	$166.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $251.67 / $698.44	Professional		$108.40	$251.67	$698.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.97 / $174.16 / $204.90	Facility		$120.97	$174.16	$204.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $191.13 / $736.08	Professional		$146.94	$191.13	$736.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.89 / $235.63 / $235.63	Facility		$224.89	$235.63	$235.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.92 / $523.50 / $1,117.82	Professional		$165.92	$523.50	$1,117.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $538.73	Professional		$32.34	$32.34	$538.73
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.98 / $841.51 / $1,177.94	Professional		$542.98	$841.51	$1,177.94