Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.96 / $78.06 / $8,229.00	Facility		$42.96	$78.06	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $71.53 / $135.31	Professional		$47.40	$71.53	$135.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.71 / $88.71 / $88.71	Professional		$88.71	$88.71	$88.71
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 $45.61 / $86.19 / $136.94	Professional		$45.61	$86.19	$136.94
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $68.41 / $129.28 / $205.41	Professional	50	$68.41	$129.28	$205.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.87 / $66.79 / $77.05	Facility		$48.87	$66.79	$77.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $69.37 / $139.35	Professional		$56.77	$69.37	$139.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.79 / $87.79 / $103.75	Facility		$87.79	$87.79	$103.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $107.22 / $226.24	Professional		$60.54	$107.22	$226.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $74.54 / $126.35 / $165.17	Professional		$74.54	$126.35	$165.17