Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.65 / $859.55 / $8,229.00	Facility		$238.65	$859.55	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.85 / $350.00 / $802.18	Professional		$186.85	$350.00	$802.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $159.84 / $223.55	Professional		$65.09	$159.84	$223.55
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 $183.37 / $244.90 / $581.25	Professional		$183.37	$244.90	$581.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.84 / $237.38 / $286.14	Facility		$178.84	$237.38	$286.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $250.38 / $488.51 / $651.33	Professional		$250.38	$488.51	$651.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.07 / $329.07 / $329.07	Facility		$329.07	$329.07	$329.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.71 / $330.09 / $796.88	Professional		$203.71	$330.09	$796.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $467.27	Professional		$32.34	$32.34	$467.27
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,339.00 / $5,301.00	Facility		$523.00	$1,339.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.31 / $455.79 / $864.61	Professional		$262.31	$455.79	$864.61