Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $851.14 / $8,511.38	Facility		$44.67	$851.14	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $107.15 / $223.87	Professional		$45.71	$107.15	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $223.87	Professional		$100.00	$117.49	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $102.33	Professional		$42.66	$67.61	$102.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $60.26 / $70.79	Facility		$46.77	$60.26	$70.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $107.15 / $147.91	Professional		$51.29	$107.15	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $87.10 / $102.33	Facility		$34.67	$87.10	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $100.00 / $562.34	Professional		$47.86	$100.00	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $77.62 / $158.49	Professional		$45.71	$77.62	$158.49