Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.14 / $261.45 / $5,320.00	Facility		$127.14	$261.45	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.70 / $156.38 / $257.35	Professional		$115.70	$156.38	$257.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.35 / $215.35 / $215.35	Professional		$215.35	$215.35	$215.35
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 $96.22 / $134.50 / $204.39	Professional		$96.22	$134.50	$204.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.76 / $173.26 / $204.20	Facility		$123.76	$173.26	$204.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.55 / $179.45 / $247.52	Professional		$153.55	$179.45	$247.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.99 / $227.72 / $227.72	Facility		$129.99	$227.72	$227.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $192.43 / $336.82	Professional		$134.63	$192.43	$336.82
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 $141.08 / $221.18 / $332.65	Professional		$141.08	$221.18	$332.65