Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $343.39 / $4,846.00	Facility		$25.06	$343.39	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $48.86 / $99.00	Professional		$25.06	$48.86	$99.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $47.23 / $77.84	Professional		$32.44	$47.23	$77.84
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 $25.46 / $40.44 / $64.17	Professional		$25.46	$40.44	$64.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.85 / $32.22 / $37.59	Facility		$26.85	$32.22	$37.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $57.09 / $70.06	Professional		$51.90	$57.09	$70.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $48.57 / $81.16	Professional		$30.06	$48.57	$81.16
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 $42.23 / $54.18 / $85.87	Professional		$42.23	$54.18	$85.87