Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.59 / $739.90 / $8,229.00	Facility		$118.59	$739.90	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.50 / $195.99 / $362.81	Professional		$109.50	$195.99	$362.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.87 / $200.87 / $200.87	Professional		$200.87	$200.87	$200.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,261.00 / $11,433.00	Facility		$2,320.00	$4,261.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.18 / $209.26 / $713.26	Professional		$120.18	$209.26	$713.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $180.27 / $313.89 / $1,069.89	Professional	50	$180.27	$313.89	$1,069.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.58 / $160.87 / $185.57	Facility		$117.58	$160.87	$185.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.74 / $183.86 / $401.74	Professional		$136.74	$183.86	$401.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.43 / $211.43 / $747.36	Facility		$211.43	$211.43	$747.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $346.11 / $1,108.88	Professional		$158.94	$346.11	$1,108.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $185.02 / $338.46 / $868.32	Professional		$185.02	$338.46	$868.32