Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.56 / $41.08 / $3,740.00	Facility		$33.56	$41.08	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $37.99 / $47.65	Professional		$32.26	$37.99	$47.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $14.80 / $20.72	Professional		$14.80	$14.80	$20.72
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 $18.80 / $24.34 / $31.43	Professional		$18.80	$24.34	$31.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.31 / $40.13 / $47.22	Facility		$29.31	$40.13	$47.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $41.31 / $66.40	Professional		$33.86	$41.31	$66.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.30 / $54.30 / $54.30	Facility		$54.30	$54.30	$54.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $44.84 / $151.25	Professional		$29.38	$44.84	$151.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $32.34 / $32.34	Professional		$22.85	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $44.67 / $69.08	Professional		$34.17	$44.67	$69.08