Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.44 / $84.49 / $4,846.00	Facility		$28.44	$84.49	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $81.67 / $139.00	Professional		$28.44	$81.67	$139.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $80.67 / $93.34	Professional		$68.56	$80.67	$93.34
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 $28.59 / $46.68 / $115.82	Professional		$28.59	$46.68	$115.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $36.95 / $43.11	Facility		$30.79	$36.95	$43.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $97.50 / $119.66	Professional		$88.64	$97.50	$119.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $60.98 / $133.97	Professional		$31.01	$60.98	$133.97
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 $61.49 / $92.24 / $150.09	Professional		$61.49	$92.24	$150.09