Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.45 / $484.76 / $8,229.00	Facility		$61.45	$484.76	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $148.72 / $245.70	Professional		$65.56	$148.72	$245.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.99 / $93.99 / $93.99	Professional		$93.99	$93.99	$93.99
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 $66.13 / $80.14 / $405.11	Professional		$66.13	$80.14	$405.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.77 / $91.42 / $107.55	Facility		$65.77	$91.42	$107.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $97.47 / $249.02	Professional		$73.20	$97.47	$249.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.89 / $123.68 / $123.68	Facility		$88.89	$123.68	$123.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $188.72 / $338.89	Professional		$83.89	$188.72	$338.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $184.10	Professional		$32.34	$32.34	$184.10
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.81 / $226.97 / $364.23	Professional		$159.81	$226.97	$364.23