Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.83 / $1,040.93 / $6,599.44	Facility		$61.83	$1,040.93	$6,599.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $93.84 / $179.00	Professional		$51.53	$93.84	$179.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $69.83 / $115.01	Professional		$69.83	$69.83	$115.01
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 $73.48 / $109.19 / $171.20	Professional		$73.48	$109.19	$171.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.27 / $67.52 / $80.84	Facility		$56.27	$67.52	$80.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.27 / $99.30 / $121.86	Professional		$90.27	$99.30	$121.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.62 / $116.12 / $171.86	Professional		$71.62	$116.12	$171.86
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 $80.42 / $128.08 / $179.52	Professional		$80.42	$128.08	$179.52