Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.23 / $512.55 / $3,740.00	Facility		$249.23	$512.55	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.18 / $266.42 / $290.08	Professional		$250.18	$266.42	$290.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.56 / $233.56 / $233.56	Professional		$233.56	$233.56	$233.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $3,389.00 / $3,766.00	Facility		$3,013.00	$3,389.00	$3,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.15 / $222.53 / $281.33	Professional		$189.15	$222.53	$281.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $238.24 / $290.08 / $338.66	Facility		$238.24	$290.08	$338.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $228.30 / $326.98 / $467.12	Professional		$228.30	$326.98	$467.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.55 / $310.55 / $310.55	Facility		$310.55	$310.55	$310.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.27 / $277.83 / $444.87	Professional		$209.27	$277.83	$444.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $303.63	Professional		$32.34	$32.34	$303.63
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $265.35 / $438.46	Professional		$219.62	$265.35	$438.46