Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.32 / $1,788.74 / $5,320.00	Facility		$98.32	$1,788.74	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.30 / $105.81 / $138.44	Professional		$92.30	$105.81	$138.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.19 / $116.19 / $116.19	Professional		$116.19	$116.19	$116.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,335.00 / $4,389.00	Facility		$1,359.00	$2,335.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $89.07 / $112.18	Professional		$73.48	$89.07	$112.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.16 / $125.13 / $144.34	Facility		$91.16	$125.13	$144.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $125.13 / $178.76	Professional		$97.86	$125.13	$178.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.04 / $110.04 / $110.04	Facility		$110.04	$110.04	$110.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.61 / $157.91 / $291.68	Professional		$100.61	$157.91	$291.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.88 / $164.57 / $231.45	Professional		$106.88	$164.57	$231.45