Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $1,000.00 / $3,890.45	Facility		$75.86	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $112.20 / $181.97	Professional		$56.23	$112.20	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $141.25	Professional		$47.86	$87.10	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $75.86 / $91.20	Facility		$54.95	$75.86	$91.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $93.33	Professional		$56.23	$77.62	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $102.33 / $141.25	Facility		$34.67	$102.33	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $138.04 / $588.84	Professional		$66.07	$138.04	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,890.45 / $8,511.38	Facility		$741.31	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $107.15 / $194.98	Professional		$56.23	$107.15	$194.98