Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.69 / $55.64 / $3,740.00	Facility		$29.69	$55.64	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $40.11 / $53.31	Professional		$25.64	$40.11	$53.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $38.47 / $38.47	Professional		$38.47	$38.47	$38.47
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 $22.50 / $33.94 / $48.32	Professional		$22.50	$33.94	$48.32
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $33.76 / $50.91 / $72.48	Professional	50	$33.76	$50.91	$72.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $36.75 / $42.91	Facility		$30.18	$36.75	$42.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $42.91 / $101.16	Professional		$26.91	$42.91	$101.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.78 / $54.45 / $54.45	Facility		$48.78	$54.45	$54.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $46.82 / $86.11	Professional		$30.77	$46.82	$86.11
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 $35.59 / $46.48 / $82.80	Professional		$35.59	$46.48	$82.80