Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.12 / $408.06 / $2,286.91	Facility		$109.12	$408.06	$2,286.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.20 / $160.30 / $269.35	Professional		$111.20	$160.30	$269.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.01 / $128.97 / $136.90	Professional		$124.01	$128.97	$136.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $1,991.00 / $2,935.00	Facility		$1,041.00	$1,991.00	$2,935.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $168.41 / $263.13	Professional		$87.86	$168.41	$263.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.98 / $138.88 / $160.21	Facility		$100.98	$138.88	$160.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.96 / $158.78 / $200.20	Professional		$128.96	$158.78	$200.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.33 / $173.60 / $173.60	Facility		$152.33	$173.60	$173.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.36 / $219.11 / $500.46	Professional		$142.36	$219.11	$500.46
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 $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.69 / $290.13 / $411.26	Professional		$155.69	$290.13	$411.26