Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,000.00 / $3,890.45	Facility		$109.65	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $218.78	Professional		$100.00	$138.04	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $117.49 / $173.78	Professional		$109.65	$117.49	$173.78
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 $74.13 / $87.10 / $154.88	Professional		$74.13	$87.10	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $107.15 / $134.90	Facility		$91.20	$107.15	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $151.36	Professional		$85.11	$128.82	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $1,862.09	Facility		$169.82	$169.82	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $933.25	Professional		$100.00	$151.36	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $53.70	Professional		$32.36	$33.11	$53.70
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 $89.13 / $120.23 / $208.93	Professional		$89.13	$120.23	$208.93