Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.92 / $334.88 / $1,185.08	Facility		$51.92	$334.88	$1,185.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $74.80 / $125.02	Professional		$39.40	$74.80	$125.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $106.50 / $116.94	Professional		$35.31	$106.50	$116.94
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 $46.72 / $71.16 / $145.26	Professional		$46.72	$71.16	$145.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $56.08 / $65.33	Facility		$41.54	$56.08	$65.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $91.88 / $133.65	Professional		$51.93	$91.88	$133.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.43 / $76.43 / $132.13	Facility		$76.43	$76.43	$132.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $97.59 / $192.16	Professional		$44.55	$97.59	$192.16
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 $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $127.67 / $180.62	Professional		$80.84	$127.67	$180.62