Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.41 / $94.29 / $3,740.00	Facility		$15.41	$94.29	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $37.92 / $65.11	Professional		$13.60	$37.92	$65.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $18.10 / $18.10	Professional		$15.39	$18.10	$18.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $27.88 / $59.84	Professional		$14.68	$27.88	$59.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $22.02 / $41.82 / $89.76	Professional	50	$22.02	$41.82	$89.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $19.55 / $22.28	Facility		$14.48	$19.55	$22.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $67.09 / $97.60	Professional		$17.23	$67.09	$97.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $26.64 / $32.40	Facility		$26.64	$26.64	$32.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $41.63 / $84.78	Professional		$15.42	$41.63	$84.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.00	Professional		$32.34	$32.34	$152.00
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 $38.10 / $52.40 / $98.29	Professional		$38.10	$52.40	$98.29