Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.89 / $70.72 / $3,740.00	Facility		$41.89	$70.72	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $57.21 / $105.23	Professional		$36.96	$57.21	$105.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $69.81 / $82.31	Professional		$56.15	$69.81	$82.31
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 $36.44 / $49.41 / $73.50	Professional		$36.44	$49.41	$73.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.08 / $51.79 / $62.83	Facility		$38.08	$51.79	$62.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $69.95 / $85.68	Professional		$49.50	$69.95	$85.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $70.06 / $70.06	Facility		$64.80	$70.06	$70.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $67.79 / $110.14	Professional		$43.51	$67.79	$110.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $32.34 / $76.43	Professional		$22.54	$32.34	$76.43
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 $53.16 / $73.05 / $113.49	Professional		$53.16	$73.05	$113.49