Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.78 / $284.95 / $8,229.00	Facility		$130.78	$284.95	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.78 / $220.27 / $287.20	Professional		$130.78	$220.27	$287.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $277.10 / $277.10 / $277.10	Professional		$277.10	$277.10	$277.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.92 / $159.55 / $292.83	Professional		$99.92	$159.55	$292.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.60 / $177.88 / $205.20	Facility		$129.60	$177.88	$205.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.06 / $181.97 / $308.06	Professional		$127.06	$181.97	$308.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.79 / $233.79 / $233.79	Facility		$233.79	$233.79	$233.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.11 / $228.42 / $422.43	Professional		$137.11	$228.42	$422.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $236.50	Professional		$32.34	$32.34	$236.50
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $100.00 / $3,176.00	Facility		$59.00	$100.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.20 / $264.06 / $454.55	Professional		$203.20	$264.06	$454.55