Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.97 / $416.00 / $3,740.00	Facility		$134.97	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.37 / $268.37 / $445.56	Professional		$146.37	$268.37	$445.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.78 / $171.78 / $171.78	Professional		$171.78	$171.78	$171.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.00 / $6,084.00 / $14,034.00	Facility		$3,565.00	$6,084.00	$14,034.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $262.83 / $415.78	Professional		$146.00	$262.83	$415.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.73 / $171.78 / $198.17	Facility		$125.73	$171.78	$198.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.53 / $201.17 / $479.33	Professional		$134.53	$201.17	$479.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.77 / $225.77 / $225.77	Facility		$225.77	$225.77	$225.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.11 / $373.76 / $735.47	Professional		$162.11	$373.76	$735.47
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.95 / $504.04 / $678.37	Professional		$319.95	$504.04	$678.37