Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.66 / $323.85 / $3,740.00	Facility		$211.66	$323.85	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $426.57 / $626.52	Professional		$219.25	$426.57	$626.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.11 / $215.11 / $218.88	Professional		$215.11	$215.11	$218.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.00 / $8,584.00 / $11,253.00	Facility		$148.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.77 / $402.23 / $647.51	Professional		$322.77	$402.23	$647.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $484.18 / $603.34 / $982.07	Professional	50	$484.18	$603.34	$982.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.42 / $211.66 / $288.10	Facility		$192.42	$211.66	$288.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $215.11 / $236.62 / $322.67	Professional		$215.11	$236.62	$322.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.18 / $354.05 / $371.56	Facility		$158.18	$354.05	$371.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.73 / $544.94 / $1,000.92	Professional		$208.73	$544.94	$1,000.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $251.26	Professional		$32.34	$32.34	$251.26
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 $414.82 / $533.34 / $930.05	Professional		$414.82	$533.34	$930.05