Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.22 / $529.91 / $8,229.00	Facility		$173.22	$529.91	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.05 / $380.39 / $647.52	Professional		$170.05	$380.39	$647.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $236.38 / $236.38 / $236.38	Professional		$236.38	$236.38	$236.38
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 $132.77 / $319.74 / $603.79	Professional		$132.77	$319.74	$603.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.21 / $236.38 / $272.67	Facility		$172.21	$236.38	$272.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $168.84 / $243.42 / $707.28	Professional		$168.84	$243.42	$707.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.67 / $310.67 / $310.67	Facility		$310.67	$310.67	$310.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.03 / $465.11 / $898.34	Professional		$187.03	$465.11	$898.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $529.91	Professional		$32.34	$32.34	$529.91
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 $457.88 / $597.87 / $978.85	Professional		$457.88	$597.87	$978.85