Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $691.83 / $3,890.45	Facility		$199.53	$691.83	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $616.60	Professional		$131.83	$199.53	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
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 $114.82 / $154.88 / $229.09	Professional		$114.82	$154.88	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $144.54 / $199.53	Facility		$117.49	$144.54	$199.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $199.53	Professional		$112.20	$154.88	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $229.09 / $1,318.26	Facility		$204.17	$229.09	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $1,122.02	Professional		$138.04	$213.80	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $398.11 / $3,162.28	Facility		$50.12	$398.11	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $295.12	Professional		$128.82	$186.21	$295.12