Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $1,000.00 / $3,890.45	Facility		$95.50	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $194.98 / $389.05	Professional		$70.79	$194.98	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $66.07 / $131.83	Professional		$60.26	$66.07	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $194.98 / $295.12	Professional		$93.33	$194.98	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $75.86 / $107.15	Facility		$61.66	$75.86	$107.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $107.15	Professional		$58.88	$83.18	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $1,318.26	Facility		$123.03	$123.03	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $239.88 / $1,621.81	Professional		$81.28	$239.88	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,348.96 / $5,248.07	Facility		$524.81	$1,348.96	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $338.84	Professional		$70.79	$173.78	$338.84