Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.36 / $787.00 / $8,229.00	Facility		$114.36	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.88 / $264.88 / $391.99	Professional		$116.88	$264.88	$391.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $151.84 / $198.08	Professional		$67.48	$151.84	$198.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,114.00 / $3,020.00	Facility		$1,041.00	$2,114.00	$3,020.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.95 / $220.49 / $357.04	Professional		$121.95	$220.49	$357.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.24 / $154.04 / $177.71	Facility		$112.24	$154.04	$177.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.03 / $159.54 / $381.25	Professional		$110.03	$159.54	$381.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.46 / $202.46 / $202.46	Facility		$202.46	$202.46	$202.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.37 / $271.29 / $528.84	Professional		$134.37	$271.29	$528.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $285.79	Professional		$32.34	$32.34	$285.79
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 $251.52 / $372.01 / $539.95	Professional		$251.52	$372.01	$539.95