Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.61 / $174.28 / $3,740.00	Facility		$104.61	$174.28	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $121.02 / $172.25	Professional		$90.40	$121.02	$172.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.27 / $117.84 / $154.13	Professional		$110.27	$117.84	$154.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,010.00 / $2,045.00 / $2,978.00	Facility		$1,010.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $87.86 / $139.79	Professional		$72.50	$87.86	$139.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.06 / $125.89 / $148.10	Facility		$92.06	$125.89	$148.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.21 / $130.51 / $208.26	Professional		$106.21	$130.51	$208.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.44 / $151.22 / $170.31	Facility		$82.44	$151.22	$170.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $135.74 / $477.08	Professional		$92.02	$135.74	$477.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $53.44	Professional		$32.34	$32.34	$53.44
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $399.00 / $3,176.00	Facility		$50.00	$399.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.10 / $136.41 / $242.74	Professional		$105.10	$136.41	$242.74