Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,000.00 / $3,890.45	Facility		$154.88	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $302.00	Professional		$85.11	$162.18	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $199.53	Professional		$151.36	$151.36	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,951.21	Facility		$1,258.93	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $208.93	Professional		$93.33	$134.90	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $112.20 / $131.83	Facility		$81.28	$112.20	$131.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $134.90	Professional		$81.28	$114.82	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $151.36 / $151.36	Facility		$34.67	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $794.33	Professional		$107.15	$190.55	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $263.03	Professional		$93.33	$154.88	$263.03