Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.19 / $380.35 / $5,634.00	Facility		$38.19	$380.35	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $58.52 / $89.10	Professional		$38.19	$58.52	$89.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $57.93 / $95.49	Professional		$49.24	$57.93	$95.49
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 $43.77 / $54.72 / $83.60	Professional		$43.77	$54.72	$83.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.29 / $49.55 / $57.81	Facility		$41.29	$49.55	$57.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $70.03 / $85.94	Professional		$63.66	$70.03	$85.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $63.34 / $101.98	Professional		$47.20	$63.34	$101.98
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,291.00 / $4,426.00	Facility		$600.00	$2,291.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $68.97 / $121.56	Professional		$51.25	$68.97	$121.56