Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.51 / $204.09 / $3,740.00	Facility		$41.51	$204.09	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $82.20 / $201.89	Professional		$39.13	$82.20	$201.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $129.44 / $137.41	Professional		$102.97	$129.44	$137.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $53.88 / $106.95	Professional		$28.44	$53.88	$106.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $50.35 / $60.38	Facility		$37.74	$50.35	$60.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $114.52 / $149.79	Professional		$52.84	$114.52	$149.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $69.44 / $69.44	Facility		$69.44	$69.44	$69.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $84.33 / $171.26	Professional		$40.35	$84.33	$171.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $32.34 / $129.44	Professional		$19.16	$32.34	$129.44
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $100.00 / $3,176.00	Facility		$59.00	$100.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $104.33 / $194.89	Professional		$81.30	$104.33	$194.89