Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $794.33 / $8,511.38	Facility		$36.31	$794.33	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $79.43 / $147.91	Professional		$32.36	$79.43	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $199.53	Professional		$40.74	$52.48	$199.53
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 $31.62 / $46.77 / $77.62	Professional		$31.62	$46.77	$77.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $70.79 / $114.82	Professional	50	$47.86	$70.79	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $43.65 / $52.48	Facility		$33.88	$43.65	$52.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $91.20 / $128.82	Professional		$38.02	$91.20	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $64.57 / $75.86	Facility		$34.67	$64.57	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $83.18 / $478.63	Professional		$35.48	$83.18	$478.63
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 $33.88 / $58.88 / $138.04	Professional		$33.88	$58.88	$138.04