Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.39 / $246.15 / $893.63	Facility		$60.39	$246.15	$893.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.36 / $76.51 / $135.75	Professional		$54.36	$76.51	$135.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $88.75 / $111.38	Professional		$70.54	$88.75	$111.38
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 $46.89 / $60.70 / $78.73	Professional		$46.89	$60.70	$78.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $73.05 / $89.28	Facility		$54.11	$73.05	$89.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $89.10 / $114.35	Professional		$70.34	$89.10	$114.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.87 / $99.56 / $99.56	Facility		$84.87	$99.56	$99.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $98.53 / $151.88	Professional		$67.72	$98.53	$151.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $32.34 / $96.53	Professional		$30.22	$32.34	$96.53
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 $73.40 / $106.07 / $156.80	Professional		$73.40	$106.07	$156.80