Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.98 / $416.00 / $3,740.00	Facility		$80.98	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.69 / $100.88 / $143.96	Professional		$73.69	$100.88	$143.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.67 / $107.67 / $107.67	Professional		$107.67	$107.67	$107.67
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 $61.32 / $96.76 / $147.15	Professional		$61.32	$96.76	$147.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.81 / $109.23 / $126.01	Facility		$79.81	$109.23	$126.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $113.13 / $175.55	Professional		$92.84	$113.13	$175.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.46 / $143.56 / $143.56	Facility		$129.46	$143.56	$143.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $139.19 / $225.83	Professional		$90.20	$139.19	$225.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.05 / $152.21 / $226.85	Professional		$101.05	$152.21	$226.85