Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.15 / $470.58 / $8,229.00	Facility		$86.15	$470.58	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.49 / $378.04 / $764.72	Professional		$97.49	$378.04	$764.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.18 / $389.18 / $389.18	Professional		$389.18	$389.18	$389.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $193.67 / $531.76	Professional		$73.78	$193.67	$531.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.18 / $110.40 / $129.88	Facility		$77.18	$110.40	$129.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $117.71 / $636.87	Professional		$79.34	$117.71	$636.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.96 / $149.37 / $149.37	Facility		$148.96	$149.37	$149.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.62 / $405.36 / $850.61	Professional		$109.62	$405.36	$850.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $460.32	Professional		$32.34	$32.34	$460.32
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.11 / $677.43 / $919.84	Professional		$427.11	$677.43	$919.84