Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $831.76 / $3,890.45	Facility		$60.26	$831.76	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $173.78 / $436.52	Professional		$34.67	$173.78	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $213.80	Professional		$30.20	$38.02	$213.80
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 $28.18 / $123.03 / $173.78	Professional		$28.18	$123.03	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $39.81 / $56.23	Facility		$32.36	$39.81	$56.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $41.69 / $56.23	Professional		$31.62	$41.69	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $64.57 / $64.57	Facility		$34.67	$64.57	$64.57
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.29 / $51.29 / $51.29	Facility	52	$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $245.47 / $1,023.29	Professional		$40.74	$245.47	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $173.78	Professional		$30.90	$33.11	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $398.11 / $3,162.28	Facility		$50.12	$398.11	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $162.18 / $346.74	Professional		$37.15	$162.18	$346.74