Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.84 / $152.31 / $8,229.00	Facility		$62.84	$152.31	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.36 / $114.87 / $190.03	Professional		$63.36	$114.87	$190.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $84.03 / $84.03	Professional		$84.03	$84.03	$84.03
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 $56.96 / $94.78 / $173.14	Professional		$56.96	$94.78	$173.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.57 / $81.12 / $95.44	Facility		$58.57	$81.12	$95.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $86.49 / $164.50	Professional		$68.45	$86.49	$164.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $109.76 / $109.76	Facility		$54.45	$109.76	$109.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $130.59 / $324.99	Professional		$70.20	$130.59	$324.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $123.96	Professional		$32.34	$32.34	$123.96
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 $105.60 / $143.65 / $230.53	Professional		$105.60	$143.65	$230.53