Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $1,000.00 / $8,709.64	Facility		$87.10	$1,000.00	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $128.82 / $229.09	Professional		$61.66	$128.82	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $9,549.93	Facility		$2,570.40	$4,073.80	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $128.82 / $234.42	Professional		$57.54	$128.82	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $85.11 / $100.00	Facility		$61.66	$85.11	$100.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $102.33	Professional		$60.26	$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 $70.79 / $177.83 / $1,288.25	Professional		$70.79	$177.83	$1,288.25
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 $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $138.04 / $257.04	Professional		$60.26	$138.04	$257.04