Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,000.00 / $8,511.38	Facility		$177.83	$1,000.00	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $138.04 / $338.84	Professional		$81.28	$138.04	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
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 $77.62 / $107.15 / $204.17	Professional		$77.62	$107.15	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $93.33 / $128.82	Facility		$75.86	$93.33	$128.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $128.82	Professional		$79.43	$95.50	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $1,318.26	Facility		$147.91	$147.91	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $1,174.90	Professional		$93.33	$165.96	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $48.98	Professional		$32.36	$33.11	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,348.96 / $5,248.07	Facility		$524.81	$1,348.96	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $213.80	Professional		$85.11	$128.82	$213.80