Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.52 / $466.80 / $2,747.00	Facility		$108.52	$466.80	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.75 / $129.37 / $207.78	Professional		$95.75	$129.37	$207.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.11 / $138.11 / $138.11	Professional		$138.11	$138.11	$138.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,066.00	Facility		$1,258.00	$2,316.00	$4,066.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.05 / $95.36 / $138.06	Professional		$81.05	$95.36	$138.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.72 / $138.11 / $162.97	Facility		$94.72	$138.11	$162.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $138.36 / $221.96	Professional		$98.65	$138.36	$221.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.52 / $181.52 / $181.52	Facility		$181.52	$181.52	$181.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.81 / $175.11 / $263.61	Professional		$116.81	$175.11	$263.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.93 / $152.19	Professional		$32.34	$65.93	$152.19
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 $132.94 / $184.63 / $253.02	Professional		$132.94	$184.63	$253.02