Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.13 / $710.21 / $4,846.00	Facility		$40.13	$710.21	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $72.95 / $195.01	Professional		$36.15	$72.95	$195.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.03 / $42.60 / $60.52	Professional		$38.03	$42.60	$60.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $38.86 / $75.02	Facility		$38.86	$38.86	$75.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $75.58 / $165.35	Professional		$32.71	$75.58	$165.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.44 / $43.47 / $50.16	Facility		$33.44	$43.47	$50.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $156.01 / $187.21 / $234.02	Professional		$156.01	$187.21	$234.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.62 / $62.62 / $62.62	Facility		$62.62	$62.62	$62.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $79.41 / $293.72	Professional		$43.62	$79.41	$293.72
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 $138.30 / $172.87 / $316.27	Professional		$138.30	$172.87	$316.27