Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $181.50 / $5,634.00	Facility		$23.78	$181.50	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $35.60 / $55.60	Professional		$22.82	$35.60	$55.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $22.67 / $61.59	Professional		$22.67	$22.67	$61.59
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 $20.66 / $35.21 / $53.25	Professional		$20.66	$35.21	$53.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $30.99 / $52.82 / $79.88	Professional	50	$30.99	$52.82	$79.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.97 / $26.36 / $30.76	Facility		$21.97	$26.36	$30.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $45.17 / $55.43	Professional		$41.06	$45.17	$55.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $41.26 / $70.04	Professional		$26.76	$41.26	$70.04
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 $34.92 / $43.66 / $71.34	Professional		$34.92	$43.66	$71.34