Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.87 / $557.00 / $8,180.95	Facility		$160.87	$557.00	$8,180.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $246.81 / $360.87	Professional		$138.03	$246.81	$360.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $230.36 / $505.16	Professional		$142.29	$230.36	$505.16
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $335.57 / $335.57 / $335.57	Professional	50	$335.57	$335.57	$335.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,215.00 / $2,292.00 / $4,229.00	Facility		$1,215.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.91 / $128.34 / $236.97	Professional		$105.91	$128.34	$236.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $158.86 / $192.51 / $355.45	Professional	50	$158.86	$192.51	$355.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.56 / $197.37 / $225.57	Facility		$140.56	$197.37	$225.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.77 / $204.42 / $357.84	Professional		$161.77	$204.42	$357.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.90 / $259.39 / $373.27	Facility		$208.90	$259.39	$373.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.03 / $267.63 / $728.11	Professional		$151.03	$267.63	$728.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $76.45	Professional		$32.34	$32.34	$76.45
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.49 / $294.02 / $504.97	Professional		$227.49	$294.02	$504.97