Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.46 / $543.00 / $8,076.62	Facility		$52.46	$543.00	$8,076.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $99.97 / $159.32	Professional		$46.19	$99.97	$159.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.79 / $110.79 / $110.79	Professional		$110.79	$110.79	$110.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $3,399.00 / $6,008.00	Facility		$600.00	$3,399.00	$6,008.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $67.87 / $134.60	Professional		$37.22	$67.87	$134.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.72 / $56.84 / $157.16	Facility		$43.72	$56.84	$157.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $139.08 / $173.85	Professional		$115.90	$139.08	$173.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $127.88 / $761.00	Facility		$82.34	$127.88	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $97.99 / $210.67	Professional		$43.62	$97.99	$210.67
United Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $2,811.00 / $4,128.00	Facility		$538.00	$2,811.00	$4,128.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.74 / $127.04 / $223.20	Professional		$92.74	$127.04	$223.20