Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.92 / $458.51 / $3,740.00	Facility		$259.92	$458.51	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.33 / $384.33 / $536.29	Professional		$237.33	$384.33	$536.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $143.28 / $385.19	Professional		$143.28	$143.28	$385.19
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 $200.60 / $243.08 / $401.73	Professional		$200.60	$243.08	$401.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $300.89 / $364.62 / $602.60	Professional	50	$300.89	$364.62	$602.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $217.98 / $311.76 / $366.78	Facility		$217.98	$311.76	$366.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.05 / $366.78 / $554.99	Professional		$263.05	$366.78	$554.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.38 / $421.80 / $692.78	Facility		$174.38	$421.80	$692.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.57 / $431.50 / $1,177.14	Professional		$245.57	$431.50	$1,177.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $148.28	Professional		$32.34	$32.34	$148.28
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 $354.54 / $474.40 / $827.48	Professional		$354.54	$474.40	$827.48