Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.71 / $129.59 / $374.27	Facility		$42.71	$129.59	$374.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $74.09 / $139.07	Professional		$40.93	$74.09	$139.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.58 / $53.58 / $72.58	Professional		$53.58	$53.58	$72.58
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 $45.55 / $55.40 / $78.37	Professional		$45.55	$55.40	$78.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.83 / $52.42 / $64.06	Facility		$38.83	$52.42	$64.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.54 / $87.86 / $117.46	Professional		$48.54	$87.86	$117.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $71.45 / $85.71	Facility		$71.45	$71.45	$85.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $95.19 / $158.49	Professional		$57.56	$95.19	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $32.34 / $83.90	Professional		$25.63	$32.34	$83.90
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 $74.17 / $105.96 / $157.44	Professional		$74.17	$105.96	$157.44