Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,202.26 / $6,165.95	Facility		$177.83	$1,202.26	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $288.40 / $660.69	Professional		$131.83	$288.40	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $229.09	Professional		$109.65	$131.83	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,235.94 / $15,135.61	Facility		$1,479.11	$3,235.94	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $309.03 / $512.86	Professional		$134.90	$309.03	$512.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $169.82 / $229.09	Facility		$120.23	$169.82	$229.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $363.08	Professional		$154.88	$269.15	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $223.87 / $1,659.59	Facility		$173.78	$223.87	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $346.74 / $3,548.13	Professional		$154.88	$346.74	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $263.03 / $457.09	Professional		$134.90	$263.03	$457.09