Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,778.28 / $8,511.38	Facility		$154.88	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $346.74	Professional		$120.23	$186.21	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $245.47	Professional		$114.82	$162.18	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $134.90 / $186.21	Facility		$109.65	$134.90	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $190.55	Professional		$104.71	$138.04	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $213.80 / $213.80	Facility		$34.67	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $1,230.27	Professional		$131.83	$213.80	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $79.43	Professional		$32.36	$33.11	$79.43
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 $120.23 / $186.21 / $288.40	Professional		$120.23	$186.21	$288.40