Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.76 / $321.24 / $2,747.00	Facility		$116.76	$321.24	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.62 / $138.91 / $262.27	Professional		$110.62	$138.91	$262.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.80 / $138.59 / $153.13	Professional		$117.80	$138.59	$153.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.21 / $118.60 / $159.33	Professional		$99.21	$118.60	$159.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.34 / $153.01 / $187.25	Facility		$113.34	$153.01	$187.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.59 / $170.12 / $221.74	Professional		$138.59	$170.12	$221.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.55 / $208.55 / $208.55	Facility		$208.55	$208.55	$208.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.33 / $197.24 / $279.73	Professional		$131.33	$197.24	$279.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $79.42 / $152.44	Professional		$32.34	$79.42	$152.44
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $203.93 / $272.52	Professional		$142.38	$203.93	$272.52