Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.68 / $416.00 / $3,666.37	Facility		$83.68	$416.00	$3,666.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $124.53 / $186.07	Professional		$73.52	$124.53	$186.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.51 / $102.51 / $102.51	Professional		$102.51	$102.51	$102.51
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 $65.92 / $104.73 / $171.58	Professional		$65.92	$104.73	$171.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $110.39 / $130.10	Facility		$78.84	$110.39	$130.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.51 / $175.50 / $221.28	Professional		$102.51	$175.50	$221.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.08 / $145.08 / $177.95	Facility		$145.08	$145.08	$177.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $144.65 / $273.36	Professional		$84.67	$144.65	$273.36
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 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.59 / $156.90 / $231.58	Professional		$108.59	$156.90	$231.58