Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.58 / $323.31 / $3,740.00	Facility		$123.58	$323.31	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.58 / $180.67 / $214.78	Professional		$123.58	$180.67	$214.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.55 / $228.55 / $228.55	Professional		$228.55	$228.55	$228.55
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 $113.74 / $165.72 / $253.85	Professional		$113.74	$165.72	$253.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.81 / $170.67 / $196.88	Facility		$124.81	$170.67	$196.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.07 / $176.77 / $274.30	Professional		$145.07	$176.77	$274.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.31 / $224.31 / $272.23	Facility		$224.31	$224.31	$272.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.46 / $221.47 / $343.32	Professional		$142.46	$221.47	$343.32
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 / $1,913.00 / $5,301.00	Facility		$523.00	$1,913.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.23 / $253.56 / $342.54	Professional		$180.23	$253.56	$342.54