Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.53 / $543.00 / $8,739.36	Facility		$63.53	$543.00	$8,739.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $83.59 / $161.00	Professional		$63.53	$83.59	$161.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $100.97 / $107.20	Professional		$65.09	$100.97	$107.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $83.51 / $109.65	Professional		$52.82	$83.51	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.43 / $84.52 / $97.23	Facility		$70.43	$84.52	$97.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.15 / $92.57 / $113.60	Professional		$84.15	$92.57	$113.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.35 / $86.83 / $134.56	Professional		$60.35	$86.83	$134.56
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 $67.43 / $89.07 / $141.52	Professional		$67.43	$89.07	$141.52