Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.88 / $358.85 / $4,846.00	Facility		$32.88	$358.85	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $43.16 / $175.30	Professional		$29.15	$43.16	$175.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $41.10 / $41.10	Professional		$41.10	$41.10	$41.10
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 $33.34 / $93.88 / $326.99	Professional		$33.34	$93.88	$326.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.40 / $35.61 / $41.10	Facility		$27.40	$35.61	$41.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $150.19 / $180.23	Professional		$120.15	$150.19	$180.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $174.60	Facility		$51.10	$51.10	$174.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.49 / $71.73 / $252.74	Professional		$33.49	$71.73	$252.74
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 $140.97 / $185.88 / $346.24	Professional		$140.97	$185.88	$346.24