Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $295.12 / $4,897.79	Facility		$43.65	$295.12	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $97.72 / $218.78	Professional		$35.48	$97.72	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $114.82	Professional		$67.61	$85.11	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $4,466.84 / $8,709.64	Facility		$501.19	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $72.44 / $144.54	Professional		$32.36	$72.44	$144.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $42.66 / $47.86	Facility		$35.48	$42.66	$47.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $120.23	Professional		$89.13	$97.72	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $79.43 / $138.04	Professional		$39.81	$79.43	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,137.96 / $5,754.40	Facility		$165.96	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $72.44 / $134.90	Professional		$33.11	$72.44	$134.90