Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $851.14 / $8,511.38	Facility		$123.03	$851.14	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $186.21	Professional		$104.71	$138.04	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $190.55	Professional		$114.82	$138.04	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $165.96 / $194.98	Facility		$114.82	$165.96	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $199.53	Professional		$120.23	$169.82	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $223.87 / $223.87	Facility		$34.67	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $954.99	Professional		$138.04	$208.93	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $269.15	Professional		$120.23	$169.82	$269.15