Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $851.14 / $3,801.89	Facility		$104.71	$851.14	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $169.82 / $588.84	Professional		$69.18	$169.82	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $67.61 / $131.83	Professional		$31.62	$67.61	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $177.83	Professional		$61.66	$112.20	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $85.11 / $107.15	Facility		$66.07	$85.11	$107.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $281.84 / $363.08	Professional		$83.18	$281.84	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $1,318.26	Facility		$123.03	$123.03	$1,318.26
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	52	$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.55 / $24.55 / $24.55	Facility	53	$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $213.80 / $1,318.26	Professional		$77.62	$213.80	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $794.33 / $3,388.44	Facility		$331.13	$794.33	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $154.88 / $338.84	Professional		$69.18	$154.88	$338.84