Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.63 / $137.58 / $2,747.00	Facility		$120.63	$137.58	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.10 / $133.24 / $189.73	Professional		$113.10	$133.24	$189.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.07 / $111.07 / $111.07	Professional		$111.07	$111.07	$111.07
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 $90.19 / $107.36 / $163.57	Professional		$90.19	$107.36	$163.57
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $135.28 / $159.16 / $245.35	Professional	50	$135.28	$159.16	$245.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.33 / $149.13 / $175.46	Facility		$108.33	$149.13	$175.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.63 / $153.52 / $239.16	Professional		$120.63	$153.52	$239.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $201.77 / $258.37	Facility		$86.66	$201.77	$258.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $147.41 / $570.64	Professional		$101.00	$147.41	$570.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $52.31	Professional		$32.34	$32.34	$52.31
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 $106.90 / $140.13 / $262.82	Professional		$106.90	$140.13	$262.82