Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $1,000.00 / $3,890.45	Facility		$95.50	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $251.19	Professional		$87.10	$141.25	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $123.03	Professional		$85.11	$100.00	$123.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $123.03 / $173.78	Facility		$93.33	$123.03	$173.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $147.91	Professional		$91.20	$120.23	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $169.82 / $169.82	Facility		$34.67	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $741.31	Professional		$120.23	$208.93	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $269.15	Professional		$100.00	$165.96	$269.15