Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $28.36 / $45.55	Facility		$17.55	$28.36	$45.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $28.36 / $48.45	Professional		$16.84	$28.36	$48.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3.57 / $3.57 / $82.53	Professional	50	$3.57	$3.57	$82.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $27.20 / $27.20	Professional		$13.57	$27.20	$27.20
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 $15.83 / $18.63 / $36.69	Professional		$15.83	$18.63	$36.69
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $23.75 / $27.94 / $55.03	Professional	50	$23.75	$27.94	$55.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $25.22 / $36.83	Facility		$17.86	$25.22	$36.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $33.69 / $48.51	Professional		$26.95	$33.69	$48.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $42.36 / $80.97	Professional		$21.06	$42.36	$80.97
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 $26.26 / $44.10 / $71.06	Professional		$26.26	$44.10	$71.06