Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,818.38 / $8,511.38	Facility		$66.07	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $120.23	Professional		$67.61	$83.18	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $9,120.11 / $11,220.18	Facility		$1,174.90	$9,120.11	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $104.71	Professional		$64.57	$75.86	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $85.11 / $102.33	Facility		$61.66	$85.11	$102.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $102.33	Professional		$61.66	$87.10	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $114.82 / $114.82	Facility		$34.67	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $426.58	Professional		$79.43	$138.04	$426.58
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 $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $138.04	Professional		$66.07	$100.00	$138.04