Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.64 / $637.00 / $6,968.76	Facility		$202.64	$637.00	$6,968.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.42 / $352.44 / $490.70	Professional		$198.42	$352.44	$490.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.49 / $239.49 / $239.49	Professional		$239.49	$239.49	$239.49
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 $184.77 / $268.39 / $411.00	Professional		$184.77	$268.39	$411.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $188.08 / $257.91 / $297.52	Facility		$188.08	$257.91	$297.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.22 / $294.75 / $483.34	Professional		$219.22	$294.75	$483.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.44 / $338.96 / $338.96	Facility		$304.44	$338.96	$338.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.14 / $344.57 / $632.94	Professional		$213.14	$344.57	$632.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.95 / $403.56 / $642.63	Professional		$292.95	$403.56	$642.63