Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $1,778.28 / $3,890.45	Facility		$89.13	$1,778.28	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $295.12	Professional		$79.43	$123.03	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $218.78	Professional		$134.90	$134.90	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $177.83	Professional		$85.11	$123.03	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $104.71 / $123.03	Facility		$83.18	$104.71	$123.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $141.25	Professional		$75.86	$120.23	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $158.49 / $165.96	Facility		$34.67	$158.49	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $831.76	Professional		$91.20	$147.91	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $199.53	Professional		$87.10	$131.83	$199.53