Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.82 / $428.25 / $4,846.00	Facility		$23.82	$428.25	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $31.29 / $56.00	Professional		$20.90	$31.29	$56.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $24.19 / $33.51	Professional		$24.19	$24.19	$33.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $24.23 / $46.76	Facility		$24.23	$24.23	$46.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $30.70 / $43.94	Professional		$19.38	$30.70	$43.94
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $29.07 / $46.05 / $65.92	Professional	50	$29.07	$46.05	$65.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $26.81 / $31.28	Facility		$22.34	$26.81	$31.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $39.34 / $48.28	Professional		$35.76	$39.34	$48.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $36.36 / $55.85	Professional		$22.15	$36.36	$55.85
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 $27.92 / $39.84 / $62.36	Professional		$27.92	$39.84	$62.36