Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $250.00 / $2,200.00	Facility		$63.88	$250.00	$2,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $119.40 / $183.94	Professional		$64.09	$119.40	$183.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $112.56	Professional		$79.00	$79.00	$112.56
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 $66.80 / $97.33 / $150.86	Professional		$66.80	$97.33	$150.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.20 / $88.48 / $104.28	Facility		$63.20	$88.48	$104.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $129.44 / $163.21	Professional		$85.32	$129.44	$163.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.29 / $116.29 / $139.68	Facility		$116.29	$116.29	$139.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.88 / $126.69 / $228.25	Professional		$78.88	$126.69	$228.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.54 / $147.41 / $226.00	Professional		$104.54	$147.41	$226.00