Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,047.13 / $3,235.94	Facility		$147.91	$1,047.13	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $208.93 / $512.86	Professional		$91.20	$208.93	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $354.81	Professional		$87.10	$147.91	$354.81
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 $83.18 / $97.72 / $120.23	Professional		$83.18	$97.72	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $123.03 / $154.88	Facility		$93.33	$123.03	$154.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $257.04 / $323.59	Professional		$109.65	$257.04	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $169.82 / $169.82	Facility		$34.67	$169.82	$169.82
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $33.88 / $33.88 / $33.88	Facility	53	$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $295.12 / $1,202.26	Professional		$117.49	$295.12	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
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 $100.00 / $204.17 / $398.11	Professional		$100.00	$204.17	$398.11