Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $483.17 / $4,846.00	Facility		$38.20	$483.17	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $90.00 / $173.40	Professional		$38.20	$90.00	$173.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.59 / $103.15	Professional		$102.59	$102.59	$103.15
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 $38.45 / $61.71 / $102.59	Professional		$38.45	$61.71	$102.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.15 / $49.38 / $57.61	Facility		$41.15	$49.38	$57.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $112.85 / $138.50	Professional		$102.59	$112.85	$138.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.68 / $109.68 / $109.68	Facility		$109.68	$109.68	$109.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $77.08 / $155.25	Professional		$43.42	$77.08	$155.25
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 $74.09 / $109.06 / $179.95	Professional		$74.09	$109.06	$179.95