Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.52 / $130.66 / $4,846.00	Facility		$62.52	$130.66	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.52 / $107.46 / $144.49	Professional		$62.52	$107.46	$144.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.71 / $126.71 / $126.71	Professional		$126.71	$126.71	$126.71
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 $62.85 / $97.42 / $141.51	Professional		$62.85	$97.42	$141.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.40 / $87.97 / $192.11	Facility		$60.40	$87.97	$192.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $139.24 / $167.09 / $201.71	Professional		$139.24	$167.09	$201.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.85 / $137.85 / $137.85	Facility		$137.85	$137.85	$137.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.43 / $111.56 / $212.44	Professional		$71.43	$111.56	$212.44
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 $105.79 / $150.05 / $247.58	Professional		$105.79	$150.05	$247.58