Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,000.00 / $3,890.45	Facility		$112.20	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $478.63 / $977.24	Professional		$75.86	$478.63	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
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 $74.13 / $512.86 / $812.83	Professional		$74.13	$512.86	$812.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $112.20 / $131.83	Facility		$81.28	$112.20	$131.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $134.90	Professional		$89.13	$114.82	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $151.36 / $151.36	Facility		$34.67	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $870.96 / $3,235.94	Professional		$100.00	$870.96	$3,235.94
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 $81.28 / $489.78 / $1,174.90	Professional		$81.28	$489.78	$1,174.90