Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.72 / $88.60 / $4,846.00	Facility		$31.72	$88.60	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $79.75 / $156.91	Professional		$31.72	$79.75	$156.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $85.20 / $89.78	Professional		$36.21	$85.20	$89.78
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 $32.52 / $53.04 / $122.09	Professional		$32.52	$53.04	$122.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $48.79 / $79.56 / $183.13	Professional	50	$48.79	$79.56	$183.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.27 / $41.12 / $47.98	Facility		$34.27	$41.12	$47.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.62 / $102.98 / $126.39	Professional		$93.62	$102.98	$126.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $64.09 / $140.74	Professional		$38.68	$64.09	$140.74
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 $64.39 / $98.62 / $163.99	Professional		$64.39	$98.62	$163.99