Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $380.19 / $3,890.45	Facility		$30.20	$380.19	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $162.18	Professional		$20.89	$34.67	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $53.70	Professional		$19.95	$28.84	$53.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,715.19 / $11,220.18	Facility		$9,549.93	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.30 / $33.88	Professional		$16.60	$26.30	$33.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $25.12 / $38.90 / $51.29	Professional	50	$25.12	$38.90	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $29.51 / $37.15	Facility		$22.39	$29.51	$37.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.02 / $52.48	Professional		$26.30	$38.02	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $42.66 / $44.67	Facility		$34.67	$42.66	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.90 / $186.21	Professional		$22.39	$38.90	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 $19.50 / $32.36 / $56.23	Professional		$19.50	$32.36	$56.23