Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $309.72 / $2,747.00	Facility		$37.25	$309.72	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $49.79 / $102.91	Professional		$33.60	$49.79	$102.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $47.24 / $56.22	Professional		$47.24	$47.24	$56.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $46.50 / $71.53	Professional		$26.63	$46.50	$71.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $45.40 / $55.49	Facility		$33.63	$45.40	$55.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $56.69 / $72.75	Professional		$43.72	$56.69	$72.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.88 / $61.88 / $72.39	Facility		$61.88	$61.88	$72.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $63.06 / $106.90	Professional		$41.12	$63.06	$106.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $32.34 / $61.41	Professional		$28.32	$32.34	$61.41
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $66.48 / $102.75	Professional		$46.98	$66.48	$102.75