Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $326.41 / $3,740.00	Facility		$77.59	$326.41	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $141.90 / $223.53	Professional		$76.81	$141.90	$223.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $45.50 / $50.23	Professional		$26.50	$45.50	$50.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $136.50 / $346.00	Professional		$74.34	$136.50	$346.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.79 / $96.79 / $116.46	Facility		$72.79	$96.79	$116.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.91 / $188.76 / $246.21	Professional		$101.91	$188.76	$246.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.93 / $133.93 / $133.93	Facility		$133.93	$133.93	$133.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.62 / $163.72 / $298.39	Professional		$85.62	$163.72	$298.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $180.55	Professional		$32.34	$32.34	$180.55
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $198.31 / $334.14	Professional		$145.88	$198.31	$334.14