Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.29 / $140.78 / $8,229.00	Facility		$50.29	$140.78	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $88.95 / $124.48	Professional		$50.29	$88.95	$124.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,066.00	Facility		$1,258.00	$2,316.00	$4,066.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $83.58 / $134.61	Professional		$44.47	$83.58	$134.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.26 / $67.61 / $78.00	Facility		$49.26	$67.61	$78.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $70.02 / $122.49	Professional		$52.84	$70.02	$122.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.48 / $102.25 / $185.49	Professional		$57.48	$102.25	$185.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $91.50	Professional		$32.34	$32.34	$91.50
United Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $594.00 / $3,394.00	Facility		$334.00	$594.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.78 / $127.09 / $194.78	Professional		$91.78	$127.09	$194.78