Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $660.69 / $3,890.45	Facility		$45.71	$660.69	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $61.66 / $147.91	Professional		$30.20	$61.66	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.30 / $52.48	Professional		$19.05	$26.30	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $69.18	Professional		$28.18	$33.11	$69.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $39.81 / $52.48	Facility		$29.51	$39.81	$52.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $79.43 / $104.71	Professional		$38.90	$79.43	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $54.95 / $54.95	Facility		$34.67	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $72.44 / $380.19	Professional		$35.48	$72.44	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
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 $33.88 / $50.12 / $109.65	Professional		$33.88	$50.12	$109.65