Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.43 / $94.40 / $2,747.00	Facility		$38.43	$94.40	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $73.95 / $131.15	Professional		$38.43	$73.95	$131.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.01 / $100.01 / $100.01	Professional		$100.01	$100.01	$100.01
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 $35.33 / $57.46 / $89.23	Professional		$35.33	$57.46	$89.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.57 / $56.12 / $63.65	Facility		$41.57	$56.12	$63.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $110.01 / $160.02	Professional		$51.96	$110.01	$160.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.70 / $76.48 / $76.48	Facility		$63.70	$76.48	$76.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $75.97 / $169.18	Professional		$40.65	$75.97	$169.18
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 $70.92 / $99.50 / $179.11	Professional		$70.92	$99.50	$179.11