Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $851.14 / $8,511.38	Facility		$102.33	$851.14	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $194.98	Professional		$100.00	$123.03	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $162.18	Professional		$77.62	$91.20	$162.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $134.90 / $239.88	Professional	50	$114.82	$134.90	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $104.71 / $131.83	Facility		$91.20	$104.71	$131.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $151.36	Professional		$83.18	$114.82	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $169.82 / $169.82	Facility		$34.67	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $2,290.87	Professional		$93.33	$138.04	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.36 / $33.88	Professional		$30.90	$32.36	$33.88
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 $91.20 / $114.82 / $204.17	Professional		$91.20	$114.82	$204.17