Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $297.20 / $3,500.00	Facility		$32.29	$297.20	$3,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $41.53 / $71.31	Professional		$23.63	$41.53	$71.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $50.72	Professional		$50.72	$50.72	$50.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $43.46 / $164.91	Professional		$20.96	$43.46	$164.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.78 / $29.61 / $35.31	Facility		$22.78	$29.61	$35.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $45.65 / $57.73	Professional		$39.78	$45.65	$57.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $57.97 / $148.68	Professional		$28.92	$57.97	$148.68
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 $42.55 / $62.66 / $96.28	Professional		$42.55	$62.66	$96.28