Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.92 / $412.61 / $5,634.00	Facility		$60.92	$412.61	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.55 / $105.00 / $166.63	Professional		$51.55	$105.00	$166.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.15 / $63.15 / $94.20	Professional		$63.15	$63.15	$94.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $72.53 / $118.01	Professional		$45.76	$72.53	$118.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.53 / $59.44 / $69.34	Facility		$49.53	$59.44	$69.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.51 / $113.86 / $139.74	Professional		$103.51	$113.86	$139.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $87.72 / $153.55	Professional		$56.96	$87.72	$153.55
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 $73.66 / $104.95 / $172.43	Professional		$73.66	$104.95	$172.43