Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.22 / $400.00 / $8,229.00	Facility		$139.22	$400.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $241.00 / $371.51	Professional		$139.22	$241.00	$371.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $226.41 / $226.41 / $226.41	Professional		$226.41	$226.41	$226.41
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 $110.28 / $174.13 / $299.97	Professional		$110.28	$174.13	$299.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $135.46 / $185.92 / $214.47	Facility		$135.46	$185.92	$214.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.81 / $189.39 / $334.03	Professional		$129.81	$189.39	$334.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.35 / $244.35 / $244.35	Facility		$244.35	$244.35	$244.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $238.31 / $435.48	Professional		$146.94	$238.31	$435.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $249.05	Professional		$32.34	$32.34	$249.05
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 $217.17 / $279.97 / $465.39	Professional		$217.17	$279.97	$465.39