Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.25 / $99.02 / $3,740.00	Facility		$66.25	$99.02	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $81.73 / $100.48	Professional		$58.30	$81.73	$100.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $82.98 / $82.98	Professional		$82.98	$82.98	$82.98
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 $50.95 / $69.29 / $105.86	Professional		$50.95	$69.29	$105.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.93 / $80.28 / $93.73	Facility		$65.93	$80.28	$93.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.19 / $102.40 / $178.08	Professional		$63.19	$102.40	$178.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.08 / $118.94 / $118.94	Facility		$77.08	$118.94	$118.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.46 / $92.19 / $160.44	Professional		$61.46	$92.19	$160.44
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 $79.11 / $98.89 / $160.44	Professional		$79.11	$98.89	$160.44