Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $416.87 / $3,890.45	Facility		$58.88	$416.87	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $117.49	Professional		$37.15	$61.66	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $87.10	Professional		$41.69	$61.66	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,884.03	Facility		$1,258.93	$2,137.96	$2,884.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $69.18	Professional		$35.48	$53.70	$69.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $50.12 / $58.88	Facility		$38.90	$50.12	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $67.61	Professional		$39.81	$54.95	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $74.13 / $79.43	Facility		$34.67	$74.13	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $75.86 / $371.54	Professional		$44.67	$75.86	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 $42.66 / $67.61 / $107.15	Professional		$42.66	$67.61	$107.15