Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.19 / $255.37 / $8,229.00	Facility		$46.19	$255.37	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $120.29 / $255.37	Professional		$36.15	$120.29	$255.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.03 / $38.03 / $42.60	Professional		$38.03	$38.03	$42.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $85.44 / $178.45	Professional		$27.80	$85.44	$178.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $46.29 / $54.45	Facility		$33.35	$46.29	$54.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $48.88 / $227.23	Professional		$39.04	$48.88	$227.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.77 / $62.62 / $62.62	Facility		$51.77	$62.62	$62.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $152.26 / $294.08	Professional		$44.18	$152.26	$294.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $165.68	Professional		$32.34	$32.34	$165.68
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.30 / $197.18 / $301.08	Professional		$138.30	$197.18	$301.08