Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $108.02 / $4,846.00	Facility		$31.35	$108.02	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $40.11 / $71.91	Professional		$27.19	$40.11	$71.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.72 / $26.72 / $41.82	Professional		$26.72	$26.72	$41.82
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 $25.71 / $37.84 / $52.40	Professional		$25.71	$37.84	$52.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $38.56 / $56.76 / $78.59	Professional	50	$38.56	$56.76	$78.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $39.04 / $71.62	Facility		$26.80	$39.04	$71.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $62.52 / $75.20	Professional		$52.10	$62.52	$75.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $49.74 / $78.33	Professional		$29.87	$49.74	$78.33
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 $36.93 / $50.59 / $83.47	Professional		$36.93	$50.59	$83.47