Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.41 / $54.59 / $3,740.00	Facility		$24.41	$54.59	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $48.04 / $69.19	Professional		$22.16	$48.04	$69.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $65.45 / $66.76	Professional		$50.03	$65.45	$66.76
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 $18.05 / $38.53 / $57.44	Professional		$18.05	$38.53	$57.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $31.62 / $36.17	Facility		$23.42	$31.62	$36.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $56.04 / $83.78	Professional		$27.87	$56.04	$83.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.09 / $43.09 / $43.09	Facility		$43.09	$43.09	$43.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $54.17 / $106.57	Professional		$24.32	$54.17	$106.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $68.06	Professional		$32.34	$32.34	$68.06
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 $50.59 / $66.33 / $93.87	Professional		$50.59	$66.33	$93.87