Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $1,778.28 / $8,511.38	Facility		$72.44	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $169.82	Professional		$67.61	$112.20	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $107.15	Professional		$64.57	$89.13	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $10,715.19 / $12,882.50	Facility		$8,128.31	$10,715.19	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $100.00	Professional		$53.70	$64.57	$100.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $93.33 / $112.20	Facility		$67.61	$93.33	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $112.20	Professional		$69.18	$87.10	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $93.33 / $128.82	Facility		$34.67	$93.33	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $489.78	Professional		$70.79	$128.82	$489.78
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 $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $151.36	Professional		$67.61	$104.71	$151.36