Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.30 / $142.43 / $5,634.00	Facility		$21.30	$142.43	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $49.88 / $98.09	Professional		$21.30	$49.88	$98.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $48.57 / $66.70	Professional		$41.28	$48.57	$66.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.98 / $25.98 / $50.14	Facility		$25.98	$25.98	$50.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $38.53 / $65.77	Professional		$21.24	$38.53	$65.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $27.54 / $32.13	Facility		$22.95	$27.54	$32.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.37 / $58.71 / $72.05	Professional		$53.37	$58.71	$72.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $52.58 / $81.81	Professional		$28.34	$52.58	$81.81
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 $46.55 / $65.63 / $105.58	Professional		$46.55	$65.63	$105.58