Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.23 / $193.65 / $3,740.00	Facility		$116.23	$193.65	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.77 / $152.34 / $227.67	Professional		$105.77	$152.34	$227.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $241.47 / $241.47 / $241.47	Professional		$241.47	$241.47	$241.47
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 $87.00 / $128.85 / $206.64	Professional		$87.00	$128.85	$206.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.02 / $158.65 / $183.01	Facility		$116.02	$158.65	$183.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.85 / $164.31 / $254.97	Professional		$134.85	$164.31	$254.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.92 / $208.51 / $208.51	Facility		$176.92	$208.51	$208.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.74 / $196.25 / $318.37	Professional		$129.74	$196.25	$318.37
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 $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.58 / $213.05 / $318.98	Professional		$145.58	$213.05	$318.98