Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $1,000.00 / $7,585.78	Facility		$85.11	$1,000.00	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $169.82 / $363.08	Professional		$77.62	$169.82	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $398.11	Professional		$64.57	$91.20	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $11,220.18	Facility		$2,041.74	$2,691.53	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $275.42	Professional		$66.07	$77.62	$275.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $102.33 / $134.90	Facility		$74.13	$102.33	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $123.03	Professional		$64.57	$102.33	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $141.25 / $141.25	Facility		$34.67	$141.25	$141.25
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	53	$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $223.87 / $1,621.81	Professional		$95.50	$223.87	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
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 $91.20 / $181.97 / $323.59	Professional		$91.20	$181.97	$323.59