Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,000.00 / $3,890.45	Facility		$141.25	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $251.19	Professional		$128.82	$165.96	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $213.80	Professional		$204.17	$204.17	$213.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,715.19 / $11,220.18	Facility		$5,011.87	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $213.80	Professional		$102.33	$120.23	$213.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $138.04 / $173.78	Facility		$117.49	$138.04	$173.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $194.98	Professional		$117.49	$165.96	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $1,862.09	Facility		$218.78	$218.78	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $2,290.87	Professional		$125.89	$194.98	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $263.03	Professional		$117.49	$154.88	$263.03