Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.22 / $2,179.90 / $10,200.00	Facility		$173.22	$2,179.90	$10,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $284.11 / $946.58	Professional		$158.22	$284.11	$946.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.18 / $203.40 / $229.23	Professional		$145.18	$203.40	$229.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,945.00 / $6,090.00 / $19,582.00	Facility		$1,945.00	$6,090.00	$19,582.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $194.95 / $940.30	Professional		$151.16	$194.95	$940.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.72 / $214.27 / $261.89	Facility		$158.72	$214.27	$261.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $206.34 / $260.35	Professional		$158.72	$206.34	$260.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.23 / $194.23 / $12,571.00	Facility		$194.23	$194.23	$12,571.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $19.01 / $19.01 / $19.01	Facility	AS	$19.01	$19.01	$19.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.72 / $476.96 / $1,150.45	Professional		$178.72	$476.96	$1,150.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $610.22	Professional		$32.34	$32.34	$610.22
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 $173.14 / $333.28 / $972.37	Professional		$173.14	$333.28	$972.37