Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $1,000.00 / $3,890.45	Facility		$60.26	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $147.91	Professional		$40.74	$67.61	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $81.28	Professional		$33.88	$52.48	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,715.19 / $11,220.18	Facility		$9,549.93	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $54.95 / $83.18	Professional		$45.71	$54.95	$83.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $57.54 / $75.86	Facility		$39.81	$57.54	$75.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $64.57	Professional		$40.74	$52.48	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $74.13 / $74.13	Facility		$34.67	$74.13	$74.13
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.14 / $15.14 / $15.14	Facility	53	$15.14	$15.14	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $338.84	Professional		$52.48	$102.33	$338.84
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 / $11,220.18	Facility		$50.12	$602.56	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $95.50	Professional		$43.65	$74.13	$95.50