Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.98 / $168.30 / $3,740.00	Facility		$96.98	$168.30	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $130.52 / $225.88	Professional		$88.25	$130.52	$225.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.80 / $177.80 / $177.80	Professional		$177.80	$177.80	$177.80
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 $78.76 / $117.75 / $178.63	Professional		$78.76	$117.75	$178.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.09 / $130.33 / $153.60	Facility		$93.09	$130.33	$153.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.02 / $157.29 / $198.32	Professional		$121.02	$157.29	$198.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $171.29 / $171.29	Facility		$153.77	$171.29	$171.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.67 / $169.79 / $276.02	Professional		$107.67	$169.79	$276.02
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 $124.91 / $189.62 / $276.07	Professional		$124.91	$189.62	$276.07