Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.18 / $369.66 / $8,229.00	Facility		$153.18	$369.66	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.18 / $231.85 / $369.66	Professional		$153.18	$231.85	$369.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.40 / $185.40 / $185.40	Professional		$185.40	$185.40	$185.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $181.50 / $317.54	Professional		$121.68	$181.50	$317.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.28 / $207.65 / $239.53	Facility		$151.28	$207.65	$239.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $210.52 / $397.73	Professional		$148.32	$210.52	$397.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.91 / $272.91 / $272.91	Facility		$272.91	$272.91	$272.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $255.29 / $460.69	Professional		$157.86	$255.29	$460.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $294.83	Professional		$32.34	$32.34	$294.83
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 $232.13 / $295.55 / $513.69	Professional		$232.13	$295.55	$513.69