Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $457.09 / $3,630.78	Facility		$54.95	$457.09	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $69.18 / $223.87	Professional		$39.81	$69.18	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $85.11	Professional		$42.66	$51.29	$85.11
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 $30.90 / $53.70 / $83.18	Professional		$30.90	$53.70	$83.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $50.12 / $64.57	Facility		$38.90	$50.12	$64.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $81.28	Professional		$47.86	$64.57	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $70.79 / $70.79	Facility		$34.67	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $389.05	Professional		$47.86	$79.43	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $47.86	Professional		$32.36	$33.11	$47.86
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 $40.74 / $61.66 / $109.65	Professional		$40.74	$61.66	$109.65