Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $120.23 / $8,511.38	Facility		$43.65	$120.23	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $100.00 / $194.98	Professional		$43.65	$100.00	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $109.65 / $151.36	Professional		$19.95	$109.65	$151.36
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 $48.98 / $67.61 / $107.15	Professional		$48.98	$67.61	$107.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $100.00 / $162.18	Professional	50	$72.44	$100.00	$162.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $57.54 / $67.61	Facility		$44.67	$57.54	$67.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $107.15 / $147.91	Professional		$44.67	$107.15	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $83.18 / $83.18	Facility		$34.67	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $104.71 / $562.34	Professional		$47.86	$104.71	$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 $47.86 / $81.28 / $162.18	Professional		$47.86	$81.28	$162.18