Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.44 / $97.02 / $4,846.00	Facility		$43.44	$97.02	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $94.29 / $130.96	Professional		$43.44	$94.29	$130.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $95.25 / $130.84	Professional		$80.95	$95.25	$130.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $87.56 / $135.71	Professional		$68.50	$87.56	$135.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.39 / $52.39 / $53.03	Facility		$52.39	$52.39	$53.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $97.97 / $159.16	Professional		$58.78	$97.97	$159.16
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,291.00 / $4,426.00	Facility		$600.00	$2,291.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.43 / $104.38 / $170.79	Professional		$81.43	$104.38	$170.79