Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.49 / $948.48 / $5,543.21	Facility		$36.49	$948.48	$5,543.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $40.21 / $91.58	Professional		$30.41	$40.21	$91.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $26.48 / $52.75	Professional		$20.68	$26.48	$52.75
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 $32.15 / $76.98 / $106.96	Professional		$32.15	$76.98	$106.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.98 / $37.67 / $60.86	Facility		$28.98	$37.67	$60.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $85.12 / $111.03	Professional		$74.02	$85.12	$111.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.50 / $54.50 / $54.50	Facility		$54.50	$54.50	$54.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $66.43 / $160.25	Professional		$33.46	$66.43	$160.25
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $78.36 / $175.92	Professional		$38.22	$78.36	$175.92