Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $537.03 / $4,168.69	Facility		$123.03	$537.03	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $162.18 / $338.84	Professional		$79.43	$162.18	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $95.50	Professional		$70.79	$75.86	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $309.03	Professional		$85.11	$144.54	$309.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $87.10 / $123.03	Facility		$70.79	$87.10	$123.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $123.03	Professional		$67.61	$95.50	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $1,318.26	Facility		$141.25	$141.25	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $186.21 / $2,290.87	Professional		$93.33	$186.21	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,348.96 / $5,248.07	Facility		$524.81	$1,348.96	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $263.03	Professional		$85.11	$151.36	$263.03