Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $162.18 / $4,897.79	Facility		$26.92	$162.18	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $72.44 / $281.84	Professional		$23.99	$72.44	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $58.88	Professional		$33.88	$42.66	$58.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $42.66	Facility		$21.88	$21.88	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $39.81 / $72.44	Professional		$18.62	$39.81	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $25.12 / $28.18	Facility		$20.42	$25.12	$28.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $48.98 / $61.66	Professional		$44.67	$48.98	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $35.48 / $81.28	Facility		$23.99	$35.48	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $43.65 / $69.18	Professional		$22.91	$43.65	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,290.87 / $7,413.10	Facility		$933.25	$2,290.87	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $38.90 / $70.79	Professional		$19.05	$38.90	$70.79