Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.56 / $81.67 / $2,747.00	Facility		$28.56	$81.67	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $59.96 / $113.59	Professional		$28.56	$59.96	$113.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $84.70 / $86.14	Professional		$84.70	$84.70	$86.14
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 $24.95 / $45.32 / $85.97	Professional		$24.95	$45.32	$85.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.11 / $42.00 / $47.63	Facility		$31.11	$42.00	$47.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.02 / $94.75 / $137.82	Professional		$37.02	$94.75	$137.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $57.24 / $57.24	Facility		$52.40	$57.24	$57.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $60.47 / $142.40	Professional		$28.90	$60.47	$142.40
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 $55.03 / $82.98 / $156.28	Professional		$55.03	$82.98	$156.28