Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.52 / $769.69 / $3,740.00	Facility		$169.52	$769.69	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $377.11 / $982.51	Professional		$139.09	$377.11	$982.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.52 / $183.62 / $594.02	Professional		$169.52	$183.62	$594.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.17 / $375.74 / $636.92	Professional		$122.17	$375.74	$636.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.19 / $215.75 / $246.58	Facility		$157.19	$215.75	$246.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.23 / $225.33 / $880.52	Professional		$177.23	$225.33	$880.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.56 / $283.56 / $283.56	Facility		$283.56	$283.56	$283.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.85 / $618.75 / $1,112.67	Professional		$176.85	$618.75	$1,112.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $447.14	Professional		$32.34	$32.34	$447.14
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,913.00 / $5,654.00	Facility		$523.00	$1,913.00	$5,654.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.30 / $816.27 / $1,260.73	Professional		$617.30	$816.27	$1,260.73