Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.91 / $787.00 / $8,229.00	Facility		$131.91	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $676.00 / $913.05	Professional		$131.91	$676.00	$913.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.19 / $125.19 / $134.68	Professional		$125.19	$125.19	$134.68
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 $134.69 / $637.51 / $1,232.66	Professional		$134.69	$637.51	$1,232.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.25 / $175.27 / $202.18	Facility		$127.25	$175.27	$202.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $180.53 / $965.36	Professional		$122.37	$180.53	$965.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.35 / $230.35 / $230.35	Facility		$230.35	$230.35	$230.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $675.92 / $1,502.11	Professional		$145.97	$675.92	$1,502.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $819.24	Professional		$32.34	$32.34	$819.24
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $885.82 / $5,301.00	Facility		$523.00	$885.82	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $781.49 / $1,136.41 / $1,635.10	Professional		$781.49	$1,136.41	$1,635.10