Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,778.28 / $8,511.38	Facility		$114.82	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $288.40	Professional		$112.20	$162.18	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $245.47	Professional		$114.82	$173.78	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $194.98	Professional		$93.33	$131.83	$194.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $154.88 / $181.97	Facility		$109.65	$154.88	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $186.21	Professional		$123.03	$158.49	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $181.97 / $208.93	Facility		$34.67	$181.97	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $1,023.29	Professional		$131.83	$213.80	$1,023.29
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 $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $269.15	Professional		$120.23	$181.97	$269.15