Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.97 / $362.28 / $3,740.00	Facility		$113.97	$362.28	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.99 / $200.60 / $303.25	Professional		$104.99	$200.60	$303.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.44 / $111.44 / $111.44	Professional		$111.44	$111.44	$111.44
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 $63.90 / $77.44 / $170.81	Professional		$63.90	$77.44	$170.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.62 / $153.29 / $175.18	Facility		$107.62	$153.29	$175.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.03 / $156.87 / $324.58	Professional		$107.03	$156.87	$324.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.46 / $201.46 / $201.46	Facility		$201.46	$201.46	$201.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.09 / $255.38 / $484.67	Professional		$138.09	$255.38	$484.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $195.40	Professional		$32.34	$32.34	$195.40
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $1,335.00 / $3,968.00	Facility		$391.00	$1,335.00	$3,968.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.84 / $332.92 / $492.09	Professional		$252.84	$332.92	$492.09