Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $294.45 / $5,499.56	Facility		$71.56	$294.45	$5,499.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $173.82 / $370.31	Professional		$71.20	$173.82	$370.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.33 / $81.33 / $152.74	Professional		$76.33	$81.33	$152.74
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 $64.06 / $168.62 / $239.02	Professional		$64.06	$168.62	$239.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.94 / $91.08 / $104.10	Facility		$61.94	$91.08	$104.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $96.34 / $216.15	Professional		$65.06	$96.34	$216.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.71 / $119.71 / $119.71	Facility		$119.71	$119.71	$119.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $171.81 / $389.36	Professional		$80.81	$171.81	$389.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $195.21	Professional		$32.34	$32.34	$195.21
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 $190.36 / $292.02 / $400.37	Professional		$190.36	$292.02	$400.37