Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $144.68 / $3,740.00	Facility		$71.52	$144.68	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $116.22 / $163.91	Professional		$71.52	$116.22	$163.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.67 / $125.67 / $184.14	Professional		$125.67	$125.67	$184.14
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 $65.31 / $95.51 / $144.47	Professional		$65.31	$95.51	$144.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $108.62 / $122.39	Facility		$80.45	$108.62	$122.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.58 / $144.68 / $210.45	Professional		$100.58	$144.68	$210.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.13 / $148.05 / $148.05	Facility		$90.13	$148.05	$148.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $124.56 / $220.67	Professional		$78.70	$124.56	$220.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $170.99	Professional		$32.34	$32.34	$170.99
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 $109.23 / $140.84 / $231.08	Professional		$109.23	$140.84	$231.08