Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.93 / $1,170.46 / $2,747.00	Facility		$108.93	$1,170.46	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.54 / $202.11 / $413.85	Professional		$96.54	$202.11	$413.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $99.03 / $212.14	Professional		$99.03	$99.03	$212.14
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 $90.63 / $107.74 / $138.59	Professional		$90.63	$107.74	$138.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.03 / $133.69 / $163.40	Facility		$99.03	$133.69	$163.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.74 / $268.88 / $351.27	Professional		$128.74	$268.88	$351.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.22 / $182.22 / $182.22	Facility		$182.22	$182.22	$182.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.29 / $243.86 / $456.73	Professional		$125.29	$243.86	$456.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $69.47 / $250.91	Professional		$32.34	$69.47	$250.91
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.03 / $330.17 / $454.25	Professional		$227.03	$330.17	$454.25