Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,778.28 / $8,511.38	Facility		$147.91	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $128.82 / $213.80	Professional		$60.26	$128.82	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $131.83 / $147.91	Professional		$40.74	$131.83	$147.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,801.89 / $3,801.89	Facility		$3,019.95	$3,801.89	$3,801.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $134.90 / $933.25	Professional		$56.23	$134.90	$933.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $57.54 / $67.61	Facility		$46.77	$57.54	$67.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $75.86	Professional		$46.77	$64.57	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $81.28 / $194.98	Facility		$79.43	$81.28	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $141.25 / $933.25	Professional		$56.23	$141.25	$933.25
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 Professional Modifier Low / Median / High Price $60.26 / $128.82 / $218.78	Professional		$60.26	$128.82	$218.78