Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $724.44 / $3,890.45	Facility		$89.13	$724.44	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $186.21	Professional		$57.54	$97.72	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $100.00 / $147.91	Professional		$47.86	$100.00	$147.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,951.21	Facility		$1,258.93	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $123.03	Professional		$53.70	$67.61	$123.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $74.13 / $93.33	Facility		$52.48	$74.13	$93.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $123.03	Professional		$69.18	$91.20	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $100.00 / $100.00	Facility		$34.67	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $109.65 / $707.95	Professional		$66.07	$109.65	$707.95
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 $58.88 / $91.20 / $144.54	Professional		$58.88	$91.20	$144.54