Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $524.81 / $2,884.03	Facility		$144.54	$524.81	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $363.08	Professional		$95.50	$151.36	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $323.59	Professional		$112.20	$158.49	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,454.71 / $4,365.16	Facility		$1,584.89	$2,454.71	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $134.90	Professional		$81.28	$95.50	$134.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $120.23 / $158.49	Facility		$95.50	$120.23	$158.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $158.49	Professional		$97.72	$128.82	$158.49
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 $123.03 / $199.53 / $724.44	Professional		$123.03	$199.53	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
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 $104.71 / $158.49 / $234.42	Professional		$104.71	$158.49	$234.42