Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $75.22 / $12,486.43	Facility		$75.22	$75.22	$12,486.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $75.22 / $104.47	Professional		$65.88	$75.22	$104.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $200.40 / $200.40	Professional		$200.40	$200.40	$200.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $329.00 / $634.97	Facility		$329.00	$329.00	$634.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $329.00 / $467.18	Professional		$263.20	$329.00	$467.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.44 / $1,160.91 / $43,749.56	Facility		$75.44	$1,160.91	$43,749.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $49.53 / $434.28	Professional		$41.34	$49.53	$434.28
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $245.76 / $447.52	Professional		$43.95	$245.76	$447.52