Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.11 / $356.83 / $5,634.00	Facility		$48.11	$356.83	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $49.79 / $107.24	Professional		$33.60	$49.79	$107.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $58.13 / $71.25	Professional		$31.52	$58.13	$71.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $740.96 / $4,119.97 / $8,230.00	Facility		$740.96	$4,119.97	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $49.87 / $91.26	Professional		$30.43	$49.87	$91.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $41.48 / $49.77	Facility		$33.18	$41.48	$49.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $57.00 / $68.38	Professional		$47.50	$57.00	$68.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $36.40 / $43.16	Facility		$36.40	$36.40	$43.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $58.25 / $100.89	Professional		$39.36	$58.25	$100.89
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 $44.86 / $57.90 / $104.46	Professional		$44.86	$57.90	$104.46