Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.83 / $166.06 / $8,229.00	Facility		$70.83	$166.06	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $105.13 / $174.96	Professional		$63.95	$105.13	$174.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $105.72 / $164.18	Professional		$99.50	$105.72	$164.18
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 $87.47 / $125.95 / $177.46	Professional		$87.47	$125.95	$177.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.44 / $91.04 / $105.41	Facility		$67.44	$91.04	$105.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.30 / $109.45 / $159.19	Professional		$84.30	$109.45	$159.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.63 / $124.09 / $124.09	Facility		$122.63	$124.09	$124.09
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $12.41 / $12.41 / $12.41	Facility	AS	$12.41	$12.41	$12.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.94 / $134.02 / $280.12	Professional		$77.94	$134.02	$280.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $129.35	Professional		$32.34	$32.34	$129.35
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 $105.70 / $143.13 / $226.90	Professional		$105.70	$143.13	$226.90