Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $284.39 / $3,740.00	Facility		$70.98	$284.39	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $158.30 / $233.91	Professional		$69.84	$158.30	$233.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $162.63 / $162.63	Professional		$162.63	$162.63	$162.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.19 / $86.97 / $187.17	Professional		$66.19	$86.97	$187.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $97.84 / $126.66 / $280.75	Professional	50	$97.84	$126.66	$280.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.73 / $87.78 / $100.32	Facility		$61.73	$87.78	$100.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.29 / $90.92 / $234.49	Professional		$61.29	$90.92	$234.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.37 / $115.37 / $246.77	Facility		$115.37	$115.37	$246.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $180.50 / $389.67	Professional		$65.88	$180.50	$389.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $55.51	Professional		$32.34	$32.34	$55.51
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.77 / $199.33 / $315.18	Professional		$149.77	$199.33	$315.18