Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.10 / $130.50 / $2,747.00	Facility		$44.10	$130.50	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.77 / $72.08 / $139.75	Professional		$40.77	$72.08	$139.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $81.70 / $81.70	Professional		$81.70	$81.70	$81.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $44.61 / $63.13	Professional		$37.90	$44.61	$63.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.56 / $57.46 / $70.22	Facility		$42.56	$57.46	$70.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $95.76 / $125.83	Professional		$55.33	$95.76	$125.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $78.31 / $78.31	Facility		$78.31	$78.31	$78.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $132.59 / $236.71	Professional		$58.00	$132.59	$236.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $32.34 / $105.49	Professional		$29.73	$32.34	$105.49
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $165.90 / $216.11	Professional		$111.83	$165.90	$216.11