Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.32 / $561.36 / $5,193.63	Facility		$86.32	$561.36	$5,193.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $258.02 / $464.65	Professional		$85.49	$258.02	$464.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $73.00	Professional		$73.00	$73.00	$73.00
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 $89.19 / $302.35 / $463.74	Professional		$89.19	$302.35	$463.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.22 / $106.21 / $128.35	Facility		$80.22	$106.21	$128.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $294.52 / $384.15	Professional		$112.31	$294.52	$384.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $147.60 / $147.60	Facility		$147.60	$147.60	$147.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $267.64 / $499.66	Professional		$100.84	$267.64	$499.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $281.70	Professional		$32.34	$32.34	$281.70
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 $259.42 / $363.50 / $587.14	Professional		$259.42	$363.50	$587.14