Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.84 / $241.36 / $8,229.00	Facility		$44.84	$241.36	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.57 / $88.13 / $173.74	Professional		$43.57	$88.13	$173.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $43.31 / $119.01	Professional		$43.31	$43.31	$119.01
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 $68.09 / $100.34 / $178.84	Professional		$68.09	$100.34	$178.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.76 / $52.99 / $65.22	Facility		$40.76	$52.99	$65.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $92.15 / $122.18	Professional		$57.06	$92.15	$122.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $137.15	Facility		$75.00	$75.00	$137.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $119.51 / $204.22	Professional		$50.31	$119.51	$204.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $103.14	Professional		$32.34	$32.34	$103.14
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $399.00 / $3,481.00	Facility		$59.00	$399.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.86 / $131.69 / $189.77	Professional		$78.86	$131.69	$189.77