Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.16 / $906.98 / $8,229.00	Facility		$193.16	$906.98	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.70 / $906.98 / $1,463.19	Professional		$194.70	$906.98	$1,463.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.10 / $164.10 / $187.59	Professional		$164.10	$164.10	$187.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.66 / $975.96 / $1,671.51	Professional		$199.66	$975.96	$1,671.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.90 / $257.89 / $297.50	Facility		$187.90	$257.89	$297.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.21 / $265.70 / $1,227.88	Professional		$184.21	$265.70	$1,227.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.95 / $338.95 / $338.95	Facility		$338.95	$338.95	$338.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.41 / $928.54 / $2,425.86	Professional		$225.41	$928.54	$2,425.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,061.10	Professional		$32.34	$32.34	$1,061.10
United Facility/Professional Facility Modifier Low / Median / High Price $631.00 / $1,121.00 / $8,582.00	Facility		$631.00	$1,121.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,144.84 / $1,903.56 / $2,459.36	Professional		$1,144.84	$1,903.56	$2,459.36