Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $988.00 / $8,229.00	Facility		$0.45	$988.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.37 / $139.87 / $241.11	Professional		$125.37	$139.87	$241.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.82 / $152.28 / $186.72	Professional		$121.82	$152.28	$186.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.76 / $149.37 / $203.69	Professional		$122.76	$149.37	$203.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.37 / $180.05 / $220.06	Facility		$133.37	$180.05	$220.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $173.38 / $213.39	Professional		$133.37	$173.38	$213.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.66 / $163.66 / $163.66	Facility		$163.66	$163.66	$163.66
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $16.03 / $16.03 / $16.03	Facility	AS	$16.03	$16.03	$16.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $199.46 / $294.97	Professional		$147.19	$199.46	$294.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $173.38	Professional		$32.34	$32.34	$173.38
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 $136.38 / $183.82 / $289.33	Professional		$136.38	$183.82	$289.33