Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $489.78 / $3,890.45	Facility		$107.15	$489.78	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $199.53	Professional		$72.44	$107.15	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $134.90	Professional		$125.89	$125.89	$134.90
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 $63.10 / $74.13 / $104.71	Professional		$63.10	$74.13	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $102.33 / $141.25	Facility		$75.86	$102.33	$141.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $120.23	Professional		$75.86	$97.72	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $138.04 / $138.04	Facility		$34.67	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $562.34	Professional		$95.50	$158.49	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $87.10	Professional		$32.36	$33.11	$87.10
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 $81.28 / $125.89 / $190.55	Professional		$81.28	$125.89	$190.55