Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $400.00 / $1,716.00	Facility		$54.54	$400.00	$1,716.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $62.08 / $112.86	Professional		$47.15	$62.08	$112.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.21 / $69.73 / $84.90	Professional		$59.21	$69.73	$84.90
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 $28.93 / $45.76 / $80.59	Professional		$28.93	$45.76	$80.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.58 / $66.93 / $74.66	Facility		$49.58	$66.93	$74.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.02 / $69.73 / $100.06	Professional		$57.02	$69.73	$100.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.17 / $91.23 / $91.23	Facility		$57.17	$91.23	$91.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $65.48 / $130.51	Professional		$46.19	$65.48	$130.51
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 $56.75 / $73.45 / $126.80	Professional		$56.75	$73.45	$126.80