Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.02 / $258.54 / $5,320.00	Facility		$179.02	$258.54	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.10 / $196.97 / $262.31	Professional		$162.10	$196.97	$262.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.51 / $224.51 / $224.51	Professional		$224.51	$224.51	$224.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.30 / $193.68 / $286.95	Professional		$147.30	$193.68	$286.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.30 / $241.78 / $278.92	Facility		$177.30	$241.78	$278.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.61 / $250.42 / $388.58	Professional		$198.61	$250.42	$388.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.12 / $317.77 / $317.77	Facility		$212.12	$317.77	$317.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.68 / $251.11 / $410.59	Professional		$179.68	$251.11	$410.59
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.20 / $265.82 / $421.23	Professional		$184.20	$265.82	$421.23