Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $933.25 / $2,818.38	Facility		$102.33	$933.25	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $398.11	Professional		$60.26	$134.90	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $74.13 / $100.00	Professional		$30.90	$74.13	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $213.80	Professional		$63.10	$77.62	$213.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $77.62 / $104.71	Facility		$60.26	$77.62	$104.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $147.91 / $186.21	Professional		$72.44	$147.91	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $1,318.26	Facility		$109.65	$109.65	$1,318.26
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	52	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $186.21 / $1,174.90	Professional		$85.11	$186.21	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
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 $69.18 / $131.83 / $234.42	Professional		$69.18	$131.83	$234.42