Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.74 / $416.00 / $3,594.48	Facility		$158.74	$416.00	$3,594.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.38 / $180.07 / $265.33	Professional		$146.38	$180.07	$265.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $193.38 / $193.38 / $193.38	Professional		$193.38	$193.38	$193.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $164.83 / $219.54	Professional		$123.00	$164.83	$219.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.13 / $174.50 / $205.92	Facility		$127.13	$174.50	$205.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $180.31 / $238.00	Professional		$148.32	$180.31	$238.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.34 / $229.34 / $229.34	Facility		$229.34	$229.34	$229.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.91 / $206.50 / $353.12	Professional		$151.91	$206.50	$353.12
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 $391.00 / $950.00 / $11,156.00	Facility		$391.00	$950.00	$11,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.76 / $233.51 / $335.67	Professional		$159.76	$233.51	$335.67