Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $537.03 / $5,248.07	Facility		$58.88	$537.03	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $85.11 / $199.53	Professional		$41.69	$85.11	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $77.62 / $141.25	Professional		$41.69	$77.62	$141.25
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 $38.02 / $44.67 / $61.66	Professional		$38.02	$44.67	$61.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $54.95 / $72.44	Facility		$42.66	$54.95	$72.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $117.49	Professional		$53.70	$97.72	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $77.62 / $77.62	Facility		$34.67	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $151.36 / $562.34	Professional		$56.23	$151.36	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
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 $46.77 / $91.20 / $194.98	Professional		$46.77	$91.20	$194.98