Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.72 / $613.23 / $8,229.00	Facility		$95.72	$613.23	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $253.23 / $783.24	Professional		$97.26	$253.23	$783.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $115.05 / $538.74	Professional		$89.39	$115.05	$538.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.18 / $180.40 / $375.01	Professional		$129.18	$180.40	$375.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.88 / $128.86 / $148.63	Facility		$93.88	$128.86	$148.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.70 / $133.46 / $845.88	Professional		$101.70	$133.46	$845.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.35 / $169.35 / $169.35	Facility		$169.35	$169.35	$169.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.62 / $467.73 / $1,038.08	Professional		$101.62	$467.73	$1,038.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $608.01	Professional		$32.34	$32.34	$608.01
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 $526.85 / $764.39 / $1,194.33	Professional		$526.85	$764.39	$1,194.33