Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $93.63 / $1,716.00	Facility		$2.04	$93.63	$1,716.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $6.09 / $36.00	Professional		$1.85	$6.09	$36.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $0.86 / $2.33 / $3.72	Professional	52	$0.86	$2.33	$3.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $8.16 / $8.75	Professional		$5.80	$8.16	$8.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.65 / $11.69	Professional		$3.24	$4.65	$11.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $2.50 / $2.78	Facility		$1.86	$2.50	$2.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $6.41 / $9.33	Professional		$2.33	$6.41	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $3.42 / $13.27	Facility		$3.42	$3.42	$13.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $6.31 / $12.93	Professional		$2.04	$6.31	$12.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $32.34 / $152.00	Professional		$7.58	$32.34	$152.00
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $6.94 / $11.73	Professional		$5.34	$6.94	$11.73