Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.65 / $535.00 / $5,320.00	Facility		$152.65	$535.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $263.08 / $338.98	Professional		$138.91	$263.08	$338.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $356.13 / $356.13	Professional		$356.13	$356.13	$356.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.05 / $214.04 / $365.41	Professional		$147.05	$214.04	$365.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.82 / $207.59 / $239.48	Facility		$151.82	$207.59	$239.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $237.25 / $421.88	Professional		$176.45	$237.25	$421.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.86 / $272.83 / $272.83	Facility		$212.86	$272.83	$272.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.59 / $300.52 / $588.57	Professional		$175.59	$300.52	$588.57
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $412.09 / $581.17	Professional		$263.00	$412.09	$581.17