Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $114.85 / $4,846.00	Facility		$50.00	$114.85	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $111.49 / $200.00	Professional		$50.00	$111.49	$200.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.63 / $111.32 / $111.32	Professional		$94.63	$111.32	$111.32
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 $50.79 / $82.46 / $126.37	Professional		$50.79	$82.46	$126.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.34 / $65.20 / $76.08	Facility		$54.34	$65.20	$76.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.33 / $134.56 / $165.15	Professional		$122.33	$134.56	$165.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.67 / $97.57 / $186.30	Professional		$61.67	$97.57	$186.30
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,291.00 / $4,426.00	Facility		$600.00	$2,291.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $132.51 / $218.64	Professional		$93.78	$132.51	$218.64