Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $824.00 / $5,634.00	Facility		$49.85	$824.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $269.20 / $434.01	Professional		$49.85	$269.20	$434.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.66 / $45.66 / $45.66	Professional		$45.66	$45.66	$45.66
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 $56.33 / $106.04 / $757.20	Professional		$56.33	$106.04	$757.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.06 / $73.53 / $499.53	Facility		$51.06	$73.53	$499.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $370.49 / $458.71 / $635.13	Professional		$370.49	$458.71	$635.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.40 / $423.40 / $423.40	Facility		$423.40	$423.40	$423.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $257.89 / $679.73	Professional		$56.10	$257.89	$679.73
United Facility/Professional Facility Modifier Low / Median / High Price $963.00 / $3,267.00 / $4,480.00	Facility		$963.00	$3,267.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.10 / $451.13 / $701.53	Professional		$300.10	$451.13	$701.53