Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.58 / $416.00 / $3,740.00	Facility		$167.58	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $184.96 / $256.95	Professional		$144.83	$184.96	$256.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $254.39 / $254.39 / $254.39	Professional		$254.39	$254.39	$254.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $8,584.00 / $11,253.00	Facility		$120.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.74 / $140.18 / $216.68	Professional		$115.74	$140.18	$216.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.27 / $199.66 / $234.90	Facility		$146.27	$199.66	$234.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.51 / $207.00 / $330.32	Professional		$143.51	$207.00	$330.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.22 / $270.13 / $388.54	Facility		$128.22	$270.13	$388.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.93 / $220.89 / $756.16	Professional		$146.93	$220.89	$756.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $84.13	Professional		$32.34	$32.34	$84.13
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 $165.14 / $212.62 / $355.96	Professional		$165.14	$212.62	$355.96