Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.66 / $224.24 / $5,320.00	Facility		$63.66	$224.24	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $110.34 / $238.51	Professional		$47.35	$110.34	$238.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $50.06 / $96.82	Professional		$42.10	$50.06	$96.82
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 $37.15 / $96.12 / $171.29	Professional		$37.15	$96.12	$171.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.07 / $60.45 / $71.12	Facility		$43.07	$60.45	$71.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $64.45 / $146.16	Professional		$43.45	$64.45	$146.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $81.79 / $81.79	Facility		$75.97	$81.79	$81.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $128.75 / $286.26	Professional		$56.64	$128.75	$286.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $110.37	Professional		$32.34	$32.34	$110.37
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 $128.04 / $213.83 / $295.12	Professional		$128.04	$213.83	$295.12