Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.87 / $209.93 / $1,716.00	Facility		$71.87	$209.93	$1,716.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $108.78 / $147.50	Professional		$61.92	$108.78	$147.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
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 $70.43 / $121.86 / $180.29	Professional		$70.43	$121.86	$180.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.54 / $84.68 / $98.86	Facility		$69.54	$84.68	$98.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $100.64 / $238.48	Professional		$74.66	$100.64	$238.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.45 / $125.45 / $163.40	Facility		$125.45	$125.45	$163.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.27 / $135.22 / $272.58	Professional		$73.27	$135.22	$272.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $155.01	Professional		$32.34	$32.34	$155.01
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 $113.01 / $164.40 / $234.15	Professional		$113.01	$164.40	$234.15