Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.76 / $73.31 / $4,846.00	Facility		$1.76	$73.31	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $9.96 / $84.00	Professional		$1.82	$9.96	$84.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $0.88 / $2.27 / $3.12	Professional	52	$0.88	$2.27	$3.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $6.07 / $7.59	Professional		$5.52	$6.07	$7.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $4.32	Facility		$2.24	$2.24	$4.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $4.72 / $13.11	Professional		$1.90	$4.72	$13.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $2.27 / $2.60	Facility		$1.88	$2.27	$2.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $6.68 / $8.19	Professional		$6.07	$6.68	$8.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $7.49 / $12.71	Professional		$2.33	$7.49	$12.71
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 $4.84 / $6.57 / $10.59	Professional		$4.84	$6.57	$10.59