Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.93 / $228.91 / $5,320.00	Facility		$131.93	$228.91	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.53 / $156.78 / $218.18	Professional		$113.53	$156.78	$218.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $128.44 / $128.44	Professional		$128.44	$128.44	$128.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.49 / $143.82 / $250.32	Professional		$100.49	$143.82	$250.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.99 / $197.62 / $227.98	Facility		$155.99	$197.62	$227.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.33 / $203.42 / $317.61	Professional		$162.33	$203.42	$317.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.73 / $259.73 / $259.73	Facility		$259.73	$259.73	$259.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.08 / $214.75 / $385.84	Professional		$143.08	$214.75	$385.84
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 $175.19 / $222.13 / $406.38	Professional		$175.19	$222.13	$406.38