Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $1,000.00 / $3,890.45	Facility		$70.79	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $199.53 / $549.54	Professional		$52.48	$199.53	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.30 / $50.12	Professional		$25.12	$26.30	$50.12
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 $54.95 / $120.23 / $489.78	Professional		$54.95	$120.23	$489.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $67.61 / $79.43	Facility		$47.86	$67.61	$79.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $81.28	Professional		$47.86	$69.18	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $91.20 / $91.20	Facility		$34.67	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $389.05 / $2,818.38	Professional		$64.57	$389.05	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $295.12 / $602.56	Professional		$54.95	$295.12	$602.56