Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.19 / $350.76 / $831.46	Facility		$60.19	$350.76	$831.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $90.58 / $144.05	Professional		$51.88	$90.58	$144.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $153.13 / $153.13	Professional		$130.16	$153.13	$153.13
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 $60.97 / $86.47 / $174.81	Professional		$60.97	$86.47	$174.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.72 / $73.87 / $86.27	Facility		$54.72	$73.87	$86.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $112.27 / $163.34	Professional		$68.40	$112.27	$163.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.68 / $100.68 / $141.01	Facility		$100.68	$100.68	$141.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $111.25 / $230.35	Professional		$58.64	$111.25	$230.35
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 $95.08 / $141.24 / $199.44	Professional		$95.08	$141.24	$199.44