Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.37 / $225.41 / $4,617.70	Facility		$98.37	$225.41	$4,617.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $168.58 / $293.63	Professional		$93.58	$168.58	$293.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.06 / $129.06 / $129.06	Professional		$129.06	$129.06	$129.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.79 / $134.24 / $246.34	Professional		$69.79	$134.24	$246.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.02 / $130.41 / $150.44	Facility		$95.02	$130.41	$150.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.58 / $134.12 / $300.57	Professional		$102.58	$134.12	$300.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.40 / $171.40 / $171.40	Facility		$171.40	$171.40	$171.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $181.17 / $355.80	Professional		$98.56	$181.17	$355.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $225.41	Professional		$32.34	$32.34	$225.41
United Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $594.00 / $3,394.00	Facility		$334.00	$594.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.36 / $223.25 / $399.61	Professional		$173.36	$223.25	$399.61