Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.65 / $18.05 / $46.41	Facility		$10.65	$18.05	$46.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $17.61 / $31.84	Professional		$10.65	$17.61	$31.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11
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 $9.57 / $12.15 / $23.24	Professional		$9.57	$12.15	$23.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $14.36 / $18.23 / $34.86	Professional	50	$14.36	$18.23	$34.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $14.27 / $23.69	Facility		$10.39	$14.27	$23.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $22.43 / $32.29	Professional		$17.94	$22.43	$32.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $32.17 / $50.03	Professional		$13.11	$32.17	$50.03
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 $16.55 / $29.18 / $51.21	Professional		$16.55	$29.18	$51.21