Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.23 / $381.97 / $3,740.00	Facility		$118.23	$381.97	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.67 / $220.58 / $354.99	Professional		$100.67	$220.58	$354.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.74 / $239.74 / $239.74	Professional		$239.74	$239.74	$239.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,010.00 / $2,045.00 / $2,978.00	Facility		$1,010.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $94.36 / $218.74	Professional		$79.50	$94.36	$218.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $119.25 / $141.54 / $328.12	Professional	50	$119.25	$141.54	$328.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.49 / $146.59 / $167.54	Facility		$104.49	$146.59	$167.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.83 / $361.21	Professional		$104.71	$151.83	$361.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.38 / $192.67 / $331.44	Facility		$174.38	$192.67	$331.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.66 / $269.30 / $544.13	Professional		$107.66	$269.30	$544.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $45.45	Professional		$32.34	$32.34	$45.45
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.93 / $285.83 / $470.61	Professional		$213.93	$285.83	$470.61