Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,000.00 / $8,511.38	Facility		$107.15	$1,000.00	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $208.93	Professional		$102.33	$144.54	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $194.98	Professional		$186.21	$186.21	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $181.97	Professional		$87.10	$125.89	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $144.54 / $169.82	Facility		$102.33	$144.54	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $173.78	Professional		$104.71	$147.91	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $194.98 / $194.98	Facility		$34.67	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $977.24	Professional		$125.89	$194.98	$977.24
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 $109.65 / $165.96 / $257.04	Professional		$109.65	$165.96	$257.04