Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.55 / $821.45 / $4,846.00	Facility		$50.55	$821.45	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.03 / $50.55 / $76.84	Professional		$42.03	$50.55	$76.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.08 / $48.08 / $54.79	Professional		$48.08	$48.08	$54.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.33 / $48.33 / $93.28	Facility		$48.33	$48.33	$93.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $48.96 / $77.31	Professional		$39.65	$48.96	$77.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $58.83 / $70.14	Facility		$45.25	$58.83	$70.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $63.43 / $78.63	Professional		$54.79	$63.43	$78.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $70.26 / $107.46	Professional		$55.16	$70.26	$107.46
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 $57.06 / $71.29 / $119.58	Professional		$57.06	$71.29	$119.58