Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.54 / $119.71 / $2,747.00	Facility		$66.54	$119.71	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.54 / $115.25 / $169.61	Professional		$66.54	$115.25	$169.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $114.00 / $125.16	Professional		$114.00	$114.00	$125.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $87.43 / $155.83	Professional		$60.06	$87.43	$155.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.29 / $79.50 / $92.81	Facility		$65.29	$79.50	$92.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $91.75 / $217.66	Professional		$62.57	$91.75	$217.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.78 / $117.78 / $125.85	Facility		$117.78	$117.78	$125.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.11 / $121.34 / $208.72	Professional		$73.11	$121.34	$208.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $141.47	Professional		$32.34	$32.34	$141.47
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.01 / $143.60 / $208.72	Professional		$107.01	$143.60	$208.72