Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.01 / $416.00 / $8,229.00	Facility		$104.01	$416.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $196.35 / $377.83	Professional		$104.01	$196.35	$377.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $136.32 / $136.32	Professional		$136.32	$136.32	$136.32
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 $77.73 / $141.19 / $248.35	Professional		$77.73	$141.19	$248.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.75 / $138.29 / $159.52	Facility		$100.75	$138.29	$159.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.15 / $140.19 / $276.35	Professional		$109.15	$140.19	$276.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.76 / $181.76 / $181.76	Facility		$181.76	$181.76	$181.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $196.77 / $351.25	Professional		$108.29	$196.77	$351.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $203.52	Professional		$32.34	$32.34	$203.52
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.43 / $236.49 / $405.27	Professional		$173.43	$236.49	$405.27