Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,000.00 / $3,890.45	Facility		$138.04	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $162.18 / $354.81	Professional		$81.28	$162.18	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $302.00	Professional		$186.21	$186.21	$302.00
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 $67.61 / $81.28 / $213.80	Professional		$67.61	$81.28	$213.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $117.49 / $151.36	Facility		$81.28	$117.49	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $141.25	Professional		$95.50	$117.49	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $1,318.26	Facility		$158.49	$158.49	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $229.09 / $1,096.48	Professional		$95.50	$229.09	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
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 $85.11 / $158.49 / $302.00	Professional		$85.11	$158.49	$302.00