Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $794.33 / $4,786.30	Facility		$151.36	$794.33	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $204.17 / $416.87	Professional		$109.65	$204.17	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $223.87	Professional		$128.82	$190.55	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $245.47	Professional		$97.72	$151.36	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $120.23 / $169.82	Facility		$97.72	$120.23	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $165.96	Professional		$93.33	$131.83	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $190.55 / $190.55	Facility		$34.67	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $1,288.25	Professional		$117.49	$208.93	$1,288.25
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 $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 $107.15 / $169.82 / $275.42	Professional		$107.15	$169.82	$275.42