Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $15.36 / $4,846.00	Facility		$13.72	$15.36	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $15.41 / $20.55	Professional		$13.72	$15.41	$20.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $20.59 / $20.59	Professional		$20.59	$20.59	$20.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.97 / $15.97 / $30.82	Facility		$15.97	$15.97	$30.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $17.21 / $28.28	Professional		$13.57	$17.21	$28.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $19.01 / $22.84	Facility		$13.05	$19.01	$22.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $20.05 / $23.98	Professional		$16.71	$20.05	$23.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $21.51 / $32.04	Professional		$15.80	$21.51	$32.04
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 $14.35 / $19.82 / $32.97	Professional		$14.35	$19.82	$32.97