Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $1,000.00 / $3,890.45	Facility		$70.79	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $123.03 / $251.19	Professional		$69.18	$123.03	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $331.13	Professional		$107.15	$169.82	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $141.25	Professional		$64.57	$97.72	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $102.33 / $120.23	Facility		$79.43	$102.33	$120.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $186.21	Professional		$79.43	$141.25	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $147.91 / $147.91	Facility		$34.67	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $691.83	Professional		$81.28	$141.25	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
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 $77.62 / $120.23 / $194.98	Professional		$77.62	$120.23	$194.98