Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,737.80 / $5,248.07	Facility		$117.49	$1,737.80	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $309.03 / $831.76	Professional		$66.07	$309.03	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $346.74	Professional		$64.57	$95.50	$346.74
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 $64.57 / $338.84 / $549.54	Professional		$64.57	$338.84	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $97.72 / $114.82	Facility		$69.18	$97.72	$114.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $117.49	Professional		$70.79	$100.00	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $131.83 / $131.83	Facility		$34.67	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $588.84 / $2,187.76	Professional		$91.20	$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 $72.44 / $323.59 / $794.33	Professional		$72.44	$323.59	$794.33