Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $151.36 / $457.09	Facility		$54.95	$151.36	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $87.10 / $218.78	Professional		$42.66	$87.10	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $64.57 / $100.00	Professional		$35.48	$64.57	$100.00
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 $46.77 / $57.54 / $77.62	Professional		$46.77	$57.54	$77.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $50.12 / $66.07	Facility		$38.90	$50.12	$66.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $109.65	Professional		$48.98	$91.20	$109.65
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 $60.26 / $107.15 / $457.09	Professional		$60.26	$107.15	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $48.98	Professional		$25.70	$32.36	$48.98
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 $47.86 / $79.43 / $138.04	Professional		$47.86	$79.43	$138.04