Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.35 / $549.62 / $3,740.00	Facility		$54.35	$549.62	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.36 / $132.62 / $427.30	Professional		$54.36	$132.62	$427.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $59.48 / $59.94	Professional		$49.85	$59.48	$59.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $101.63 / $271.05	Professional		$48.84	$101.63	$271.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.32 / $71.98 / $87.98	Facility		$53.32	$71.98	$87.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.65 / $231.93 / $310.58	Professional		$74.65	$231.93	$310.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $510.49	Facility		$98.11	$98.11	$510.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.94 / $155.00 / $390.00	Professional		$63.94	$155.00	$390.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $221.85	Professional		$32.34	$32.34	$221.85
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.55 / $199.58 / $329.33	Professional		$136.55	$199.58	$329.33