Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.61 / $557.00 / $8,229.00	Facility		$90.61	$557.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.96 / $399.23 / $819.85	Professional		$87.96	$399.23	$819.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.97 / $120.36 / $154.66	Professional		$85.97	$120.36	$154.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $151.80 / $637.49	Professional		$66.18	$151.80	$637.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.97 / $110.40 / $137.55	Facility		$85.97	$110.40	$137.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $706.08 / $907.38	Professional		$120.36	$706.08	$907.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $158.18 / $158.18	Facility		$105.33	$158.18	$158.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.14 / $402.29 / $977.29	Professional		$98.14	$402.29	$977.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $765.97	Professional		$32.34	$32.34	$765.97
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,339.00 / $5,301.00	Facility		$523.00	$1,339.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $508.19 / $763.58 / $1,181.13	Professional		$508.19	$763.58	$1,181.13