Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $645.65 / $3,890.45	Facility		$123.03	$645.65	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $309.03 / $645.65	Professional		$70.79	$309.03	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $831.76	Professional		$75.86	$89.13	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,715.19 / $11,220.18	Facility		$9,549.93	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $346.74 / $575.44	Professional		$69.18	$346.74	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $102.33 / $120.23	Facility		$74.13	$102.33	$120.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $123.03	Professional		$75.86	$104.71	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $138.04 / $138.04	Facility		$34.67	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $588.84 / $2,187.76	Professional		$95.50	$588.84	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 / $331.13 / $794.33	Professional		$77.62	$331.13	$794.33