Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.65 / $206.98 / $1,229.25	Facility		$70.65	$206.98	$1,229.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.66 / $69.31 / $103.18	Professional		$45.66	$69.31	$103.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $70.50 / $79.11	Professional		$70.50	$70.50	$79.11
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 $50.36 / $75.72 / $111.53	Professional		$50.36	$75.72	$111.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $65.47 / $105.69	Facility		$44.95	$65.47	$105.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $92.28 / $110.98	Professional		$76.90	$92.28	$110.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $86.81 / $135.00	Professional		$54.06	$86.81	$135.00
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 $63.61 / $83.75 / $134.86	Professional		$63.61	$83.75	$134.86