Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $371.54 / $3,890.45	Facility		$147.91	$371.54	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $389.05	Professional		$107.15	$199.53	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $107.15	Professional		$104.71	$104.71	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $239.88	Professional		$93.33	$141.25	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $117.49 / $162.18	Facility		$95.50	$117.49	$162.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $162.18	Professional		$91.20	$125.89	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $186.21 / $186.21	Facility		$34.67	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $1,412.54	Professional		$114.82	$204.17	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $398.11 / $3,162.28	Facility		$50.12	$398.11	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $269.15	Professional		$102.33	$169.82	$269.15