Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $387.59 / $5,634.00	Facility		$18.07	$387.59	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $47.31 / $160.00	Professional		$18.10	$47.31	$160.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $53.84 / $66.80	Professional		$34.45	$53.84	$66.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $22.00 / $42.46	Facility		$22.00	$22.00	$42.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $33.60 / $57.77	Professional		$17.97	$33.60	$57.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.78 / $23.74 / $27.69	Facility		$19.78	$23.74	$27.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.53 / $48.98 / $60.12	Professional		$44.53	$48.98	$60.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $44.86 / $70.77	Professional		$24.42	$44.86	$70.77
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 $42.45 / $60.00 / $107.12	Professional		$42.45	$60.00	$107.12