Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,000.00 / $5,495.41	Facility		$109.65	$1,000.00	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $186.21 / $467.74	Professional		$70.79	$186.21	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $64.57 / $158.49	Professional		$61.66	$64.57	$158.49
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 $64.57 / $169.82 / $208.93	Professional		$64.57	$169.82	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $87.10 / $114.82	Facility		$61.66	$87.10	$114.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $104.71	Professional		$63.10	$87.10	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $120.23 / $120.23	Facility		$34.67	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $204.17 / $851.14	Professional		$83.18	$204.17	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $354.81	Professional		$75.86	$173.78	$354.81