Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $794.33 / $5,495.41	Facility		$194.98	$794.33	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $302.00 / $616.60	Professional		$138.04	$302.00	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $1,548.82	Professional		$131.83	$165.96	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,235.94 / $15,848.93	Facility		$1,584.89	$3,235.94	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $323.59 / $457.09	Professional		$131.83	$323.59	$457.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $177.83 / $208.93	Facility		$125.89	$177.83	$208.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $213.80	Professional		$117.49	$181.97	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $239.88 / $1,659.59	Facility		$181.97	$239.88	$1,659.59
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	22	$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $501.19 / $1,949.84	Professional		$165.96	$501.19	$1,949.84
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 $141.25 / $316.23 / $707.95	Professional		$141.25	$316.23	$707.95