Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,000.00 / $3,890.45	Facility		$128.82	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $257.04	Professional		$114.82	$169.82	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $288.40	Professional		$173.78	$173.78	$288.40
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 $114.82 / $141.25 / $223.87	Professional		$114.82	$141.25	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $154.88 / $181.97	Facility		$125.89	$154.88	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $208.93	Professional		$123.03	$169.82	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $234.42 / $234.42	Facility		$34.67	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $977.24	Professional		$128.82	$204.17	$977.24
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 $125.89 / $177.83 / $288.40	Professional		$125.89	$177.83	$288.40