Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,513.56 / $3,801.89	Facility		$158.49	$1,513.56	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $229.09 / $630.96	Professional		$100.00	$229.09	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $316.23	Professional		$91.20	$154.88	$316.23
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 $91.20 / $107.15 / $141.25	Professional		$91.20	$107.15	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $128.82 / $169.82	Facility		$100.00	$128.82	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $269.15 / $331.13	Professional		$123.03	$269.15	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $181.97 / $181.97	Facility		$34.67	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $309.03 / $1,202.26	Professional		$128.82	$309.03	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
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 $107.15 / $213.80 / $407.38	Professional		$107.15	$213.80	$407.38