Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.37 / $74.03 / $3,740.00	Facility		$43.37	$74.03	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $57.43 / $78.90	Professional		$39.27	$57.43	$78.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $65.59 / $65.59	Professional		$65.59	$65.59	$65.59
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 $38.71 / $49.68 / $78.03	Professional		$38.71	$49.68	$78.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.56 / $56.11 / $63.42	Facility		$41.56	$56.11	$63.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $69.12 / $100.54	Professional		$51.95	$69.12	$100.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.62 / $76.47 / $76.47	Facility		$57.62	$76.47	$76.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $63.54 / $121.26	Professional		$42.78	$63.54	$121.26
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 $59.00 / $597.00 / $1,895.00	Facility		$59.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.48 / $70.47 / $111.80	Professional		$55.48	$70.47	$111.80