Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.34 / $277.48 / $2,747.00	Facility		$21.34	$277.48	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $40.75 / $72.92	Professional		$18.89	$40.75	$72.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $42.56 / $42.56	Professional		$42.56	$42.56	$42.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $33.60 / $50.46	Professional		$15.27	$33.60	$50.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $27.00 / $30.65	Facility		$20.00	$27.00	$30.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $47.89 / $69.66	Professional		$25.00	$47.89	$69.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $36.79 / $36.79	Facility		$36.79	$36.79	$36.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $45.69 / $92.93	Professional		$20.66	$45.69	$92.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $56.60	Professional		$32.34	$32.34	$56.60
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 $43.60 / $55.25 / $86.70	Professional		$43.60	$55.25	$86.70