Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.63 / $161.91 / $4,846.00	Facility		$45.63	$161.91	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $61.97 / $117.00	Professional		$45.63	$61.97	$117.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $61.97 / $77.45	Professional		$56.39	$61.97	$77.45
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 $38.89 / $61.56 / $87.10	Professional		$38.89	$61.56	$87.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.34 / $60.41 / $69.41	Facility		$50.34	$60.41	$69.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $68.17 / $83.66	Professional		$61.97	$68.17	$83.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $69.30 / $111.24	Professional		$46.19	$69.30	$111.24
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 $50.08 / $70.93 / $103.98	Professional		$50.08	$70.93	$103.98