Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $193.24 / $3,740.00	Facility		$66.90	$193.24	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $94.33 / $162.68	Professional		$57.99	$94.33	$162.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $127.85 / $127.85	Professional		$86.21	$127.85	$127.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $86.25 / $137.26	Professional		$60.75	$86.25	$137.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.47 / $86.06 / $101.43	Facility		$61.47	$86.06	$101.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.91 / $113.09 / $141.60	Professional		$79.91	$113.09	$141.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.10 / $113.10 / $120.15	Facility		$113.10	$113.10	$120.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.78 / $111.62 / $194.83	Professional		$72.78	$111.62	$194.83
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 $89.75 / $134.13 / $194.83	Professional		$89.75	$134.13	$194.83