Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.81 / $916.59 / $4,938.33	Facility		$130.81	$916.59	$4,938.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $133.43 / $241.99	Professional		$123.07	$133.43	$241.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.03 / $165.40 / $178.12	Professional		$159.03	$165.40	$178.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $127.57 / $183.93	Professional		$105.27	$127.57	$183.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.23 / $178.12 / $209.93	Facility		$127.23	$178.12	$209.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.23 / $165.40 / $209.93	Professional		$127.23	$165.40	$209.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.41 / $156.41 / $156.41	Facility		$156.41	$156.41	$156.41
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $15.25 / $15.25 / $15.25	Facility	AS	$15.25	$15.25	$15.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.21 / $195.08 / $305.02	Professional		$141.21	$195.08	$305.02
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 $143.40 / $195.62 / $272.01	Professional		$143.40	$195.62	$272.01