Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $31.62 / $245.47	Facility		$16.22	$31.62	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.20 / $60.26	Professional		$10.00	$18.20	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $17.78	Professional		$16.98	$16.98	$17.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.45 / $25.70	Professional		$10.47	$14.45	$25.70
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $15.85 / $21.38 / $38.02	Professional	50	$15.85	$21.38	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $11.22 / $12.88	Facility		$10.23	$11.22	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $28.84 / $56.23	Professional		$12.02	$28.84	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $2,137.96 / $5,754.40	Facility		$50.12	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $22.91 / $45.71	Professional		$10.96	$22.91	$45.71