Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.24 / $107.99 / $5,634.00	Facility		$28.24	$107.99	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $89.43 / $115.82	Professional		$28.24	$89.43	$115.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.94 / $40.94 / $40.94	Professional		$40.94	$40.94	$40.94
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 $24.59 / $51.52 / $122.89	Professional		$24.59	$51.52	$122.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.91 / $35.57 / $122.38	Facility		$27.91	$35.57	$122.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $103.26 / $134.99	Professional		$89.99	$103.26	$134.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.31 / $115.31 / $115.31	Facility		$115.31	$115.31	$115.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $79.53 / $202.67	Professional		$35.25	$79.53	$202.67
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 $86.93 / $117.13 / $205.80	Professional		$86.93	$117.13	$205.80