Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $239.88 / $8,511.38	Facility		$102.33	$239.88	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $269.15	Professional		$107.15	$147.91	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $204.17	Professional		$97.72	$128.82	$204.17
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 $79.43 / $109.65 / $181.97	Professional		$79.43	$109.65	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $141.25 / $165.96	Facility		$102.33	$141.25	$165.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $169.82	Professional		$93.33	$144.54	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $190.55 / $190.55	Facility		$34.67	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $954.99	Professional		$112.20	$169.82	$954.99
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 $100.00 / $147.91 / $229.09	Professional		$100.00	$147.91	$229.09