Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $1,000.00 / $3,890.45	Facility		$91.20	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $134.90 / $223.87	Professional		$64.57	$134.90	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $104.71	Professional		$66.07	$87.10	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,495.41 / $12,302.69	Facility		$3,548.13	$5,495.41	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $141.25 / $251.19	Professional		$74.13	$141.25	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $87.10 / $102.33	Facility		$63.10	$87.10	$102.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $104.71	Professional		$64.57	$89.13	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $117.49 / $117.49	Facility		$34.67	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $199.53 / $1,380.38	Professional		$83.18	$199.53	$1,380.38
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 $67.61 / $134.90 / $269.15	Professional		$67.61	$134.90	$269.15