Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.98 / $535.00 / $8,664.09	Facility		$82.98	$535.00	$8,664.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $103.66 / $154.80	Professional		$69.45	$103.66	$154.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.04 / $112.04 / $112.04	Professional		$112.04	$112.04	$112.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,889.00 / $8,766.00	Facility		$2,088.00	$3,889.00	$8,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $81.91 / $138.84	Professional		$64.12	$81.91	$138.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.94 / $93.70 / $109.39	Facility		$76.94	$93.70	$109.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $109.52 / $224.08	Professional		$73.73	$109.52	$224.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.45 / $138.81 / $1,111.00	Facility		$88.45	$138.81	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $112.48 / $219.66	Professional		$73.05	$112.48	$219.66
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 $391.00 / $950.00 / $2,525.00	Facility		$391.00	$950.00	$2,525.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $123.31 / $207.73	Professional		$99.05	$123.31	$207.73