Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $98.94 / $2,747.00	Facility		$42.97	$98.94	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $87.01 / $131.97	Professional		$43.49	$87.01	$131.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $100.84 / $147.76	Professional		$100.84	$100.84	$147.76
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 $41.45 / $62.90 / $108.94	Professional		$41.45	$62.90	$108.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.38 / $63.96 / $72.72	Facility		$47.38	$63.96	$72.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.23 / $116.09 / $168.86	Professional		$59.23	$116.09	$168.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.02 / $87.18 / $87.18	Facility		$67.02	$87.18	$87.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $81.31 / $177.86	Professional		$46.66	$81.31	$177.86
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 $72.47 / $102.51 / $192.13	Professional		$72.47	$102.51	$192.13