Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $851.14 / $8,511.38	Facility		$66.07	$851.14	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $239.88	Professional		$67.61	$123.03	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $190.55	Professional		$102.33	$125.89	$190.55
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 $61.66 / $87.10 / $141.25	Professional		$61.66	$87.10	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $79.43 / $93.33	Facility		$63.10	$79.43	$93.33
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 / $117.49 / $117.49	Facility		$34.67	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $660.69	Professional		$72.44	$131.83	$660.69
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 $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $186.21	Professional		$69.18	$114.82	$186.21