Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $218.78 / $3,890.45	Facility		$40.74	$218.78	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $77.62 / $169.82	Professional		$30.20	$77.62	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $69.18 / $97.72	Professional		$22.91	$69.18	$97.72
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 $41.69 / $63.10 / $125.89	Professional		$41.69	$63.10	$125.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.02 / $51.29	Facility		$26.92	$38.02	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $70.79 / $95.50	Professional		$34.67	$70.79	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $51.29 / $51.29	Facility		$34.67	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $100.00 / $512.86	Professional		$45.71	$100.00	$512.86
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 $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $70.79 / $134.90	Professional		$36.31	$70.79	$134.90