Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.84 / $167.67 / $2,748.72	Facility		$77.84	$167.67	$2,748.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $99.85 / $137.88	Professional		$72.81	$99.85	$137.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.18 / $105.18 / $105.18	Professional		$105.18	$105.18	$105.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.54 / $73.58 / $107.93	Professional		$62.54	$73.58	$107.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.64 / $105.18 / $131.47	Facility		$71.64	$105.18	$131.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $105.37 / $169.04	Professional		$75.13	$105.37	$169.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.24 / $138.24 / $138.24	Facility		$138.24	$138.24	$138.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.02 / $139.91 / $213.39	Professional		$90.02	$139.91	$213.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.94 / $119.78	Professional		$32.34	$50.94	$119.78
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 $106.23 / $152.71 / $202.76	Professional		$106.23	$152.71	$202.76