Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $851.14 / $8,511.38	Facility		$64.57	$851.14	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $114.82 / $169.82	Professional		$58.88	$114.82	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $120.23	Professional		$117.49	$117.49	$120.23
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 $69.18 / $85.11 / $147.91	Professional		$69.18	$85.11	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $79.43 / $93.33	Facility		$63.10	$79.43	$93.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $107.15	Professional		$57.54	$91.20	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $117.49 / $117.49	Facility		$34.67	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $676.08	Professional		$70.79	$134.90	$676.08
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 $69.18 / $109.65 / $199.53	Professional		$69.18	$109.65	$199.53