Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $794.33 / $3,890.45	Facility		$81.28	$794.33	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $316.23	Professional		$60.26	$120.23	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $181.97	Professional		$72.44	$104.71	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $158.49	Professional		$74.13	$109.65	$158.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $74.13 / $87.10	Facility		$56.23	$74.13	$87.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $131.83	Professional		$64.57	$97.72	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $107.15 / $151.36	Facility		$34.67	$107.15	$151.36
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $10.72 / $10.72 / $10.72	Facility	AS	$10.72	$10.72	$10.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $724.44	Professional		$66.07	$123.03	$724.44
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 $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $169.82	Professional		$67.61	$107.15	$169.82