Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.09 / $344.00 / $3,740.00	Facility		$189.09	$344.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.46 / $265.39 / $473.17	Professional		$177.46	$265.39	$473.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.72 / $238.63 / $356.08	Professional		$172.72	$238.63	$356.08
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 $130.88 / $188.63 / $323.69	Professional		$130.88	$188.63	$323.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.90 / $236.31 / $283.04	Facility		$176.90	$236.31	$283.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $247.66 / $296.63 / $391.68	Professional		$247.66	$296.63	$391.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.50 / $325.50 / $325.50	Facility		$325.50	$325.50	$325.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.02 / $274.58 / $473.67	Professional		$180.02	$274.58	$473.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $279.77	Professional		$32.34	$32.34	$279.77
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 $234.79 / $308.92 / $540.35	Professional		$234.79	$308.92	$540.35