Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $1,348.96 / $3,890.45	Facility		$57.54	$1,348.96	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $1,047.13 / $2,041.74	Professional		$53.70	$1,047.13	$2,041.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,454.71	Professional		$1,174.90	$1,174.90	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,715.19 / $11,220.18	Facility		$4,466.84	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $112.20	Professional		$58.88	$69.18	$112.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $89.13 / $104.71 / $165.96	Professional	50	$89.13	$104.71	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $50.12 / $58.88	Facility		$40.74	$50.12	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $66.07	Professional		$36.31	$54.95	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $74.13 / $74.13	Facility		$34.67	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $1,513.56 / $5,888.44	Professional		$56.23	$1,513.56	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $812.83	Professional		$32.36	$33.11	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $1,122.02 / $2,089.30	Professional		$61.66	$1,122.02	$2,089.30