Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.61 / $727.38 / $6,484.91	Facility		$183.61	$727.38	$6,484.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.37 / $299.97 / $495.30	Professional		$150.37	$299.97	$495.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.17 / $182.17 / $182.17	Professional		$182.17	$182.17	$182.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $2,745.00 / $10,277.00	Facility		$1,421.00	$2,745.00	$10,277.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.32 / $283.19 / $556.70	Professional		$143.32	$283.19	$556.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.93 / $196.18 / $226.31	Facility		$142.93	$196.18	$226.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.15 / $224.21 / $416.81	Professional		$161.15	$224.21	$416.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.83 / $257.83 / $612.46	Facility		$257.83	$257.83	$612.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.53 / $308.75 / $587.66	Professional		$176.53	$308.75	$587.66
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.42 / $428.70 / $615.54	Professional		$290.42	$428.70	$615.54