Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.23 / $223.33 / $3,740.00	Facility		$49.23	$223.33	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $93.55 / $159.32	Professional		$46.19	$93.55	$159.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.76 / $158.76 / $158.76	Professional		$158.76	$158.76	$158.76
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 $37.08 / $68.43 / $125.92	Professional		$37.08	$68.43	$125.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $62.65 / $72.28	Facility		$45.65	$62.65	$72.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $64.89 / $162.99	Professional		$49.05	$64.89	$162.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $82.34 / $82.34	Facility		$82.34	$82.34	$82.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.09 / $97.67 / $213.91	Professional		$47.09	$97.67	$213.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $32.34 / $147.41	Professional		$29.62	$32.34	$147.41
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 $93.93 / $132.27 / $240.25	Professional		$93.93	$132.27	$240.25