Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.26 / $535.05 / $8,229.00	Facility		$162.26	$535.05	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $255.64 / $535.05	Professional		$162.26	$255.64	$535.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.08 / $194.84 / $199.24	Professional		$152.08	$194.84	$199.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $2,565.00 / $4,650.00	Facility		$1,421.00	$2,565.00	$4,650.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.87 / $212.18 / $513.22	Professional		$158.87	$212.18	$513.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.99 / $218.22 / $251.73	Facility		$158.99	$218.22	$251.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.24 / $225.87 / $570.49	Professional		$172.24	$225.87	$570.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $286.80 / $286.80	Facility		$286.80	$286.80	$286.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.25 / $300.89 / $721.26	Professional		$176.25	$300.89	$721.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $425.46	Professional		$32.34	$32.34	$425.46
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 $219.42 / $379.48 / $792.01	Professional		$219.42	$379.48	$792.01