Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $636.12 / $7,212.00	Facility		$41.68	$636.12	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.78 / $91.00 / $148.69	Professional		$38.78	$91.00	$148.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $33.01 / $51.26	Professional		$24.58	$33.01	$51.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $9,270.00	Facility		$856.00	$4,320.00	$9,270.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $118.85 / $188.78	Professional		$65.95	$118.85	$188.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.68 / $44.86 / $72.09	Facility		$32.68	$44.86	$72.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.80 / $131.00 / $188.64	Professional		$104.80	$131.00	$188.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $59.84 / $116.18	Facility		$59.84	$59.84	$116.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $131.83 / $221.82	Professional		$41.76	$131.83	$221.82
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $5,520.00	Facility		$933.00	$2,174.00	$5,520.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.36 / $130.82 / $221.25	Professional		$105.36	$130.82	$221.25