Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $1,000.00 / $8,511.38	Facility		$52.48	$1,000.00	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $64.57	Professional		$33.11	$38.90	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $70.79	Professional		$38.90	$38.90	$70.79
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 $31.62 / $37.15 / $117.49	Professional		$31.62	$37.15	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $43.65 / $51.29	Facility		$30.90	$43.65	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $52.48	Professional		$30.90	$44.67	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $58.88 / $58.88	Facility		$34.67	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $58.88 / $602.56	Professional		$35.48	$58.88	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 $30.20 / $46.77 / $67.61	Professional		$30.20	$46.77	$67.61