Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,071.52 / $5,495.41	Facility		$213.80	$1,071.52	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $338.84	Professional		$131.83	$194.98	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $338.84	Professional		$114.82	$128.82	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $229.09	Professional		$102.33	$147.91	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $190.55 / $245.47	Facility		$141.25	$190.55	$245.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $234.42	Professional		$141.25	$190.55	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $257.04 / $257.04	Facility		$34.67	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $1,071.52	Professional		$138.04	$234.42	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $323.59	Professional		$128.82	$199.53	$323.59