Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $1,000.00 / $3,890.45	Facility		$123.03	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $263.03 / $436.52	Professional		$114.82	$263.03	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $257.04	Professional		$245.47	$245.47	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,951.21	Facility		$1,258.93	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $218.78	Professional		$79.43	$97.72	$218.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $144.54 / $331.13	Professional	50	$120.23	$144.54	$331.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $128.82 / $165.96	Facility		$104.71	$128.82	$165.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $173.78	Professional		$102.33	$141.25	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $190.55 / $269.15	Facility		$34.67	$190.55	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $302.00 / $2,041.74	Professional		$117.49	$302.00	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $45.71	Professional		$32.36	$33.11	$45.71
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 $100.00 / $213.80 / $426.58	Professional		$100.00	$213.80	$426.58