Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.32 / $242.54 / $3,740.00	Facility		$97.32	$242.54	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.36 / $127.19 / $182.55	Professional		$87.36	$127.19	$182.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $68.88 / $72.48	Professional		$68.88	$68.88	$72.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,045.00 / $2,978.00	Facility		$1,066.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $99.11 / $168.46	Professional		$77.91	$99.11	$168.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.34 / $130.06 / $154.13	Facility		$96.34	$130.06	$154.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.43 / $154.26 / $220.42	Professional		$120.43	$154.26	$220.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.84 / $177.27 / $1,111.00	Facility		$107.84	$177.27	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.80 / $135.55 / $267.69	Professional		$87.80	$135.55	$267.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $179.09	Professional		$32.34	$32.34	$179.09
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 $120.88 / $150.28 / $267.10	Professional		$120.88	$150.28	$267.10