Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.03 / $113.96 / $3,740.00	Facility		$68.03	$113.96	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $95.80 / $133.12	Professional		$62.17	$95.80	$133.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.40 / $155.40 / $155.40	Professional		$155.40	$155.40	$155.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $73.95 / $110.00	Professional		$56.43	$73.95	$110.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.19 / $81.81 / $95.51	Facility		$67.19	$81.81	$95.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $95.72 / $207.20	Professional		$59.91	$95.72	$207.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.23 / $121.20 / $3,236.00	Facility		$81.23	$121.20	$3,236.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $107.54 / $199.76	Professional		$73.28	$107.54	$199.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $134.68	Professional		$32.34	$32.34	$134.68
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,326.00	Facility		$50.00	$597.00	$3,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $118.54 / $209.98	Professional		$86.38	$118.54	$209.98