Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,000.00 / $3,890.45	Facility		$177.83	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $269.15	Professional		$109.65	$169.82	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,137.96 / $2,951.21	Facility		$1,148.15	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $177.83	Professional		$85.11	$100.00	$177.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $147.91 / $263.03	Professional	50	$125.89	$147.91	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $181.97 / $1,659.59	Facility		$169.82	$181.97	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $812.83	Professional		$112.20	$190.55	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 $95.50 / $147.91 / $263.03	Professional		$95.50	$147.91	$263.03