Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.30 / $466.80 / $1,084.88	Facility		$79.30	$466.80	$1,084.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $87.93 / $170.82	Professional		$58.91	$87.93	$170.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $90.00 / $106.88	Professional		$84.85	$90.00	$106.88
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 $52.61 / $62.68 / $89.40	Professional		$52.61	$62.68	$89.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.39 / $87.71 / $101.18	Facility		$61.39	$87.71	$101.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $88.34 / $140.96	Professional		$68.94	$88.34	$140.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.12 / $115.28 / $115.28	Facility		$88.12	$115.28	$115.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.92 / $108.16 / $173.82	Professional		$71.92	$108.16	$173.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $33.47 / $98.25	Professional		$30.74	$33.47	$98.25
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 $82.41 / $113.37 / $172.24	Professional		$82.41	$113.37	$172.24