Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.06 / $109.15 / $8,229.00	Facility		$14.06	$109.15	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $33.57 / $115.83	Professional		$12.77	$33.57	$115.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $85.26 / $85.26	Professional		$85.26	$85.26	$85.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $72.59 / $84.57	Professional		$22.43	$72.59	$84.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $16.59 / $18.89	Facility		$15.48	$16.59	$18.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.05 / $154.60 / $191.84	Professional		$98.05	$154.60	$191.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.43 / $19.43 / $19.43	Facility		$19.43	$19.43	$19.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $88.09 / $116.20	Professional		$18.61	$88.09	$116.20
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 $71.92 / $95.60 / $165.07	Professional		$71.92	$95.60	$165.07