Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.84 / $405.42 / $5,320.00	Facility		$123.84	$405.42	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.66 / $216.22 / $346.32	Professional		$107.66	$216.22	$346.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $114.60 / $114.60	Professional		$114.60	$114.60	$114.60
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 $126.03 / $202.70 / $239.24	Professional		$126.03	$202.70	$239.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.61 / $153.10 / $180.13	Facility		$110.61	$153.10	$180.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $163.24 / $351.43	Professional		$129.19	$163.24	$351.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.15 / $207.15 / $207.15	Facility		$207.15	$207.15	$207.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.87 / $279.83 / $524.66	Professional		$140.87	$279.83	$524.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $210.15	Professional		$32.34	$32.34	$210.15
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 $262.37 / $345.07 / $545.40	Professional		$262.37	$345.07	$545.40