Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.18 / $325.25 / $7,954.00	Facility		$52.18	$325.25	$7,954.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $114.53 / $212.61	Professional		$41.77	$114.53	$212.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $116.28 / $166.10	Professional		$85.65	$116.28	$166.10
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 $38.96 / $78.18 / $143.75	Professional		$38.96	$78.18	$143.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.43 / $50.92 / $59.40	Facility		$42.43	$50.92	$59.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.73 / $121.80 / $149.49	Professional		$110.73	$121.80	$149.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.65 / $119.65 / $119.65	Facility		$119.65	$119.65	$119.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $100.78 / $168.61	Professional		$52.03	$100.78	$168.61
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 $86.32 / $128.84 / $198.02	Professional		$86.32	$128.84	$198.02