Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.86 / $380.93 / $1,716.00	Facility		$36.86	$380.93	$1,716.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $84.44 / $167.39	Professional		$32.58	$84.44	$167.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $86.66 / $121.32	Professional		$82.81	$86.66	$121.32
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 $26.39 / $62.19 / $94.79	Professional		$26.39	$62.19	$94.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $46.53 / $55.15	Facility		$34.47	$46.53	$55.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.09 / $95.33 / $138.66	Professional		$43.09	$95.33	$138.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.42 / $63.42 / $63.42	Facility		$63.42	$63.42	$63.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $90.95 / $171.94	Professional		$35.49	$90.95	$171.94
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 $83.19 / $111.41 / $162.68	Professional		$83.19	$111.41	$162.68