Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,000.00 / $6,606.93	Facility		$165.96	$1,000.00	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $323.59	Professional		$123.03	$186.21	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $190.55	Professional		$81.28	$97.72	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $9,549.93	Facility		$2,454.71	$4,073.80	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $245.47	Professional		$123.03	$147.91	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $177.83 / $208.93	Facility		$144.54	$177.83	$208.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $239.88	Professional		$131.83	$194.98	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $1,318.26	Facility		$269.15	$269.15	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $1,202.26	Professional		$138.04	$213.80	$1,202.26
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 $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $316.23	Professional		$134.90	$181.97	$316.23