Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.09 / $267.04 / $1,020.49	Facility		$36.09	$267.04	$1,020.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $56.84 / $104.45	Professional		$28.30	$56.84	$104.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $34.97 / $74.75	Professional		$34.97	$34.97	$74.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,045.00 / $2,978.00	Facility		$1,066.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $37.47 / $80.11	Professional		$21.97	$37.47	$80.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $44.43 / $50.22	Facility		$32.90	$44.43	$50.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $96.73 / $140.69	Professional		$39.49	$96.73	$140.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.59 / $57.59 / $57.59	Facility		$57.59	$57.59	$57.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $46.28 / $136.72	Professional		$17.39	$46.28	$136.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.00	Professional		$32.34	$32.34	$152.00
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $63.17 / $89.82	Professional		$46.28	$63.17	$89.82