Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.86 / $115.88 / $4,846.00	Facility		$42.86	$115.88	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $101.94 / $198.12	Professional		$42.86	$101.94	$198.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.48 / $98.21 / $137.49	Professional		$83.48	$98.21	$137.49
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 $43.32 / $70.33 / $139.16	Professional		$43.32	$70.33	$139.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.79 / $56.15 / $65.51	Facility		$46.79	$56.15	$65.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.92 / $118.71 / $145.69	Professional		$107.92	$118.71	$145.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $82.56 / $164.09	Professional		$49.86	$82.56	$164.09
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 $77.94 / $112.06 / $182.74	Professional		$77.94	$112.06	$182.74