Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.80 / $387.81 / $3,740.00	Facility		$136.80	$387.81	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.09 / $282.55 / $460.75	Professional		$149.09	$282.55	$460.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.64 / $263.64 / $342.75	Professional		$263.64	$263.64	$342.75
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 $145.41 / $268.87 / $428.55	Professional		$145.41	$268.87	$428.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.34 / $174.10 / $200.85	Facility		$127.34	$174.10	$200.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $198.98 / $406.02	Professional		$121.56	$198.98	$406.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.82 / $228.82 / $228.82	Facility		$228.82	$228.82	$228.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.75 / $378.77 / $751.18	Professional		$162.75	$378.77	$751.18
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 $329.37 / $529.54 / $699.21	Professional		$329.37	$529.54	$699.21