Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.17 / $551.83 / $3,740.00	Facility		$177.17	$551.83	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.19 / $252.33 / $406.91	Professional		$164.19	$252.33	$406.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $359.48 / $359.48 / $359.48	Professional		$359.48	$359.48	$359.48
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 $139.15 / $210.12 / $345.10	Professional		$139.15	$210.12	$345.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.28 / $225.48 / $260.11	Facility		$164.28	$225.48	$260.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.97 / $233.54 / $398.52	Professional		$177.97	$233.54	$398.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.35 / $296.35 / $296.35	Facility		$296.35	$296.35	$296.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.93 / $285.75 / $503.56	Professional		$177.93	$285.75	$503.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $304.17	Professional		$32.34	$32.34	$304.17
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 $252.52 / $310.50 / $545.35	Professional		$252.52	$310.50	$545.35