Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.88 / $547.64 / $3,740.00	Facility		$139.88	$547.64	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $245.75 / $399.31	Professional		$131.66	$245.75	$399.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.31 / $165.31 / $165.31	Professional		$165.31	$165.31	$165.31
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 $107.14 / $175.72 / $327.98	Professional		$107.14	$175.72	$327.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.71 / $178.02 / $205.37	Facility		$129.71	$178.02	$205.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.16 / $184.38 / $398.61	Professional		$127.16	$184.38	$398.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.97 / $233.97 / $233.97	Facility		$233.97	$233.97	$233.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.97 / $248.42 / $479.36	Professional		$136.97	$248.42	$479.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $299.02	Professional		$32.34	$32.34	$299.02
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $945.00 / $6,295.00	Facility		$575.00	$945.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $289.49 / $531.73	Professional		$239.16	$289.49	$531.73