Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,778.28 / $8,511.38	Facility		$173.78	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $616.60	Professional		$147.91	$234.42	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $223.87 / $354.81	Professional		$120.23	$223.87	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,715.19 / $11,220.18	Facility		$9,549.93	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $229.09	Professional		$117.49	$147.91	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $223.87 / $316.23	Facility		$154.88	$223.87	$316.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $338.84	Professional		$208.93	$263.03	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $194.98 / $302.00	Facility		$34.67	$194.98	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $1,230.27	Professional		$147.91	$251.19	$1,230.27
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 $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $323.59	Professional		$123.03	$169.82	$323.59