Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.05 / $111.49 / $2,747.00	Facility		$50.05	$111.49	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.51 / $97.04 / $143.37	Professional		$51.51	$97.04	$143.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.68 / $167.68 / $167.68	Professional		$167.68	$167.68	$167.68
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 $50.65 / $75.15 / $118.75	Professional		$50.65	$75.15	$118.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $74.39 / $84.65	Facility		$55.10	$74.39	$84.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $131.75 / $191.63	Professional		$65.56	$131.75	$191.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.30 / $101.38 / $101.38	Facility		$77.30	$101.38	$101.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.02 / $97.52 / $202.99	Professional		$57.02	$97.52	$202.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $155.69	Professional		$32.34	$32.34	$155.69
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $597.00 / $1,895.00	Facility		$59.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $122.40 / $221.08	Professional		$93.25	$122.40	$221.08