Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.26 / $368.18 / $2,747.00	Facility		$46.26	$368.18	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $101.54 / $162.22	Professional		$40.52	$101.54	$162.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.29 / $108.10 / $151.34	Professional		$103.29	$108.10	$151.34
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 $33.11 / $78.18 / $119.16	Professional		$33.11	$78.18	$119.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.13 / $58.23 / $66.39	Facility		$43.13	$58.23	$66.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $118.91 / $172.96	Professional		$51.32	$118.91	$172.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.36 / $79.36 / $79.36	Facility		$79.36	$79.36	$79.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $113.28 / $216.19	Professional		$44.68	$113.28	$216.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $140.53	Professional		$32.34	$32.34	$140.53
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 $101.27 / $139.24 / $198.02	Professional		$101.27	$139.24	$198.02