Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.93 / $464.38 / $4,022.30	Facility		$193.93	$464.38	$4,022.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.91 / $251.36 / $400.99	Professional		$200.91	$251.36	$400.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.20 / $242.52 / $261.33	Professional		$225.20	$242.52	$261.33
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 $179.22 / $239.69 / $382.36	Professional		$179.22	$239.69	$382.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.70 / $242.52 / $286.19	Facility		$176.70	$242.52	$286.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $201.03 / $251.18 / $321.64	Professional		$201.03	$251.18	$321.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.74 / $318.74 / $318.74	Facility		$318.74	$318.74	$318.74
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $31.87 / $31.87 / $31.87	Facility	AS	$31.87	$31.87	$31.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.39 / $309.99 / $593.62	Professional		$212.39	$309.99	$593.62
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 / $1,817.00 / $11,156.00	Facility		$523.00	$1,817.00	$11,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.76 / $364.37 / $501.66	Professional		$239.76	$364.37	$501.66