Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.64 / $84.57 / $3,740.00	Facility		$53.64	$84.57	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $72.86 / $106.21	Professional		$59.80	$72.86	$106.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $77.84 / $77.84	Professional		$77.84	$77.84	$77.84
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 $54.31 / $71.68 / $91.10	Professional		$54.31	$71.68	$91.10
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.45 / $107.52 / $136.65	Professional	50	$81.45	$107.52	$136.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.12 / $88.03 / $110.04	Facility		$62.12	$88.03	$110.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.17 / $91.18 / $142.59	Professional		$69.17	$91.18	$142.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.70 / $115.70 / $115.70	Facility		$115.70	$115.70	$115.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.77 / $106.13 / $159.97	Professional		$76.77	$106.13	$159.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $43.50 / $91.32	Professional		$32.34	$43.50	$91.32
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $110.01 / $155.91	Professional		$78.48	$110.01	$155.91