Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.50 / $787.00 / $8,229.00	Facility		$66.50	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.50 / $73.50 / $128.72	Professional		$66.50	$73.50	$128.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.84 / $90.84 / $90.84	Professional		$90.84	$90.84	$90.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,062.90 / $9,565.00 / $21,322.13	Facility		$7,062.90	$9,565.00	$21,322.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $64.66 / $106.16	Professional		$53.36	$64.66	$106.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.88 / $97.83 / $115.30	Facility		$69.88	$97.83	$115.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.88 / $94.32 / $115.30	Professional		$69.88	$94.32	$115.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.29 / $86.29 / $87.25	Facility		$86.29	$86.29	$87.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $105.58 / $199.48	Professional		$71.48	$105.58	$199.48
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $108.18 / $152.08	Professional		$67.64	$108.18	$152.08