Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $27.75 / $164.64	Facility		$18.18	$27.75	$164.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $27.75 / $47.85	Professional		$17.93	$27.75	$47.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $39.77 / $39.77	Professional		$39.77	$39.77	$39.77
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 $16.23 / $19.10 / $34.00	Professional		$16.23	$19.10	$34.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.34 / $24.16 / $36.24	Facility		$18.34	$24.16	$36.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $33.14 / $47.72	Professional		$26.51	$33.14	$47.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $40.99 / $77.88	Professional		$22.19	$40.99	$77.88
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 $26.21 / $44.14 / $75.47	Professional		$26.21	$44.14	$75.47