Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,778.28 / $8,511.38	Facility		$162.18	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $138.04 / $194.98	Professional		$66.07	$138.04	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $158.49	Professional		$141.25	$141.25	$158.49
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 $52.48 / $64.57 / $75.86	Facility		$52.48	$64.57	$75.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $87.10	Professional		$51.29	$74.13	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $91.20 / $190.55	Facility		$81.28	$91.20	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $151.36 / $954.99	Professional		$60.26	$151.36	$954.99
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 / $131.83 / $234.42	Professional		$60.26	$131.83	$234.42