Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.91 / $137.72 / $3,740.00	Facility		$59.91	$137.72	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $88.68 / $147.93	Professional		$54.84	$88.68	$147.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.26 / $100.26 / $115.68	Professional		$100.26	$100.26	$115.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,045.00 / $2,978.00	Facility		$1,066.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.86 / $109.19 / $152.91	Professional		$71.86	$109.19	$152.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.40 / $78.84 / $91.49	Facility		$58.40	$78.84	$91.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $99.80 / $145.16	Professional		$70.08	$99.80	$145.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.20 / $107.46 / $107.46	Facility		$107.20	$107.46	$107.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $10.75 / $10.75 / $10.75	Facility	AS	$10.75	$10.75	$10.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $111.83 / $248.28	Professional		$67.70	$111.83	$248.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $117.95	Professional		$32.34	$32.34	$117.95
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 $96.28 / $128.35 / $206.00	Professional		$96.28	$128.35	$206.00