Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.59 / $125.46 / $5,320.00	Facility		$86.59	$125.46	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $108.69 / $161.41	Professional		$78.81	$108.69	$161.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.18 / $121.18 / $121.18	Professional		$121.18	$121.18	$121.18
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 $68.34 / $92.01 / $143.78	Professional		$68.34	$92.01	$143.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.01 / $117.57 / $138.57	Facility		$86.01	$117.57	$138.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $121.77 / $188.96	Professional		$92.03	$121.77	$188.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.78 / $154.52 / $154.52	Facility		$109.78	$154.52	$154.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.84 / $130.61 / $237.84	Professional		$93.84	$130.61	$237.84
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 $100.37 / $155.88 / $221.48	Professional		$100.37	$155.88	$221.48