Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.55 / $210.55 / $594.84	Facility		$45.55	$210.55	$594.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $73.95 / $121.79	Professional		$38.79	$73.95	$121.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $77.12 / $114.60	Professional		$72.58	$77.12	$114.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $4,097.10 / $8,230.00	Facility		$575.00	$4,097.10	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.09 / $73.27 / $105.79	Professional		$47.09	$73.27	$105.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $48.15 / $77.79	Facility		$37.04	$48.15	$77.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.40 / $91.68 / $114.60	Professional		$76.40	$91.68	$114.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $69.80 / $82.74	Facility		$69.80	$69.80	$82.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $86.30 / $151.22	Professional		$49.46	$86.30	$151.22
United Facility/Professional Facility Modifier Low / Median / High Price $866.00 / $2,291.00 / $4,426.00	Facility		$866.00	$2,291.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $89.13 / $157.44	Professional		$66.70	$89.13	$157.44