Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $851.14 / $5,495.41	Facility		$85.11	$851.14	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $100.00 / $223.87	Professional		$51.29	$100.00	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $295.12	Professional		$47.86	$72.44	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,715.19 / $11,220.18	Facility		$9,549.93	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $79.43	Professional		$52.48	$61.66	$79.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $66.07 / $85.11	Facility		$47.86	$66.07	$85.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $81.28	Professional		$52.48	$66.07	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $89.13 / $89.13	Facility		$34.67	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $154.88 / $512.86	Professional		$69.18	$154.88	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
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 $61.66 / $107.15 / $194.98	Professional		$61.66	$107.15	$194.98