Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $356.83 / $3,740.00	Facility		$75.31	$356.83	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $169.71 / $330.26	Professional		$71.83	$169.71	$330.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $97.58 / $97.58	Professional		$97.58	$97.58	$97.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.37 / $102.27 / $263.91	Professional		$52.37	$102.27	$263.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $97.58 / $112.58	Facility		$71.09	$97.58	$112.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.02 / $101.07 / $355.12	Professional		$77.02	$101.07	$355.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.25 / $128.25 / $128.25	Facility		$128.25	$128.25	$128.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $193.93 / $394.84	Professional		$71.14	$193.93	$394.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $32.34 / $259.83	Professional		$30.05	$32.34	$259.83
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 $203.13 / $263.81 / $464.05	Professional		$203.13	$263.81	$464.05