Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.14 / $832.59 / $4,687.39	Facility		$102.14	$832.59	$4,687.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $190.60 / $431.10	Professional		$80.53	$190.60	$431.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $83.77 / $145.75	Professional		$72.13	$83.77	$145.75
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 $59.95 / $72.66 / $110.61	Professional		$59.95	$72.66	$110.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.56 / $94.61 / $126.14	Facility		$77.56	$94.61	$126.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $222.13 / $289.74	Professional		$103.20	$222.13	$289.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.07 / $145.07 / $145.07	Facility		$145.07	$145.07	$145.07
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $116.06 / $116.06 / $116.06	Facility	52	$116.06	$116.06	$116.06
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.01 / $29.01 / $29.01	Facility	53	$29.01	$29.01	$29.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.20 / $213.21 / $461.20	Professional		$99.20	$213.21	$461.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $56.55 / $205.17	Professional		$32.34	$56.55	$205.17
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 $242.63 / $343.20 / $475.57	Professional		$242.63	$343.20	$475.57