Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $302.00 / $2,818.38	Facility		$87.10	$302.00	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $120.23 / $239.88	Professional		$64.57	$120.23	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $229.09	Professional		$75.86	$131.83	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $85.11 / $100.00	Facility		$66.07	$85.11	$100.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $114.82	Professional		$69.18	$97.72	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $128.82 / $165.96	Facility		$34.67	$128.82	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $173.78 / $1,202.26	Professional		$79.43	$173.78	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
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 $79.43 / $147.91 / $245.47	Professional		$79.43	$147.91	$245.47