Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $851.14 / $5,495.41	Facility		$33.88	$851.14	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $102.33	Professional		$30.90	$42.66	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $97.72	Professional		$25.70	$40.74	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $120.23 / $147.91	Professional		$30.20	$120.23	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $51.29 / $85.11	Facility		$32.36	$51.29	$85.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $50.12	Professional		$34.67	$41.69	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $58.88 / $66.07	Facility		$34.67	$58.88	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $70.79 / $331.13	Professional		$39.81	$70.79	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $39.81	Professional		$29.51	$32.36	$39.81
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 $34.67 / $52.48 / $81.28	Professional		$34.67	$52.48	$81.28