Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.67 / $256.08 / $5,320.00	Facility		$125.67	$256.08	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $125.88 / $189.09	Professional		$108.31	$125.88	$189.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.10 / $150.10 / $150.10	Professional		$150.10	$150.10	$150.10
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 $89.49 / $110.31 / $174.49	Professional		$89.49	$110.31	$174.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.81 / $161.63 / $186.47	Facility		$118.81	$161.63	$186.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $162.80 / $259.79	Professional		$132.78	$162.80	$259.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.76 / $212.45 / $212.45	Facility		$116.76	$212.45	$212.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.47 / $148.12 / $245.02	Professional		$112.47	$148.12	$245.02
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $157.04 / $242.93	Professional		$102.54	$157.04	$242.93