Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.93 / $428.67 / $4,626.35	Facility		$83.93	$428.67	$4,626.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $149.93 / $243.66	Professional		$80.70	$149.93	$243.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.38 / $95.38 / $95.38	Professional		$95.38	$95.38	$95.38
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 $80.56 / $140.76 / $256.70	Professional		$80.56	$140.76	$256.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $106.82 / $123.23	Facility		$77.55	$106.82	$123.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $109.89 / $222.14	Professional		$84.31	$109.89	$222.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.38 / $140.38 / $140.38	Facility		$140.38	$140.38	$140.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.45 / $171.44 / $335.44	Professional		$92.45	$171.44	$335.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $169.43	Professional		$32.34	$32.34	$169.43
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 $153.19 / $212.56 / $329.89	Professional		$153.19	$212.56	$329.89