Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $851.14 / $8,511.38	Facility		$45.71	$851.14	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $97.72 / $165.96	Professional		$45.71	$97.72	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $218.78	Professional		$81.28	$107.15	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $125.89	Professional		$60.26	$74.13	$125.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $58.88 / $69.18	Facility		$46.77	$58.88	$69.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $79.43	Professional		$47.86	$64.57	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $89.13 / $112.20	Facility		$34.67	$89.13	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $107.15 / $537.03	Professional		$53.70	$107.15	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $154.88	Professional		$57.54	$91.20	$154.88