Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.47 / $392.45 / $5,320.00	Facility		$150.47	$392.45	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.81 / $201.02 / $298.85	Professional		$137.81	$201.02	$298.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.34 / $210.34 / $210.34	Professional		$210.34	$210.34	$210.34
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 $106.33 / $128.85 / $223.21	Professional		$106.33	$128.85	$223.21
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $159.50 / $193.27 / $334.81	Professional	50	$159.50	$193.27	$334.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.10 / $186.72 / $213.39	Facility		$133.10	$186.72	$213.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.04 / $193.39 / $302.52	Professional		$153.04	$193.39	$302.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.14 / $245.40 / $390.15	Facility		$176.14	$245.40	$390.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.65 / $226.30 / $692.25	Professional		$136.65	$226.30	$692.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $68.80	Professional		$32.34	$32.34	$68.80
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.94 / $246.99 / $368.09	Professional		$188.94	$246.99	$368.09