Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.44 / $268.20 / $3,740.00	Facility		$108.44	$268.20	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.54 / $120.20 / $147.55	Professional		$92.54	$120.20	$147.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.18 / $178.18 / $178.18	Professional		$178.18	$178.18	$178.18
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 $77.72 / $100.89 / $154.46	Professional		$77.72	$100.89	$154.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.46 / $138.01 / $159.19	Facility		$101.46	$138.01	$159.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $142.94 / $221.81	Professional		$117.31	$142.94	$221.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.52 / $181.39 / $181.39	Facility		$130.52	$181.39	$181.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.03 / $135.46 / $255.34	Professional		$102.03	$135.46	$255.34
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 $101.48 / $145.69 / $240.51	Professional		$101.48	$145.69	$240.51