Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.39 / $2,680.39 / $8,041.15	Facility		$65.39	$2,680.39	$8,041.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $85.31 / $167.28	Professional		$55.91	$85.31	$167.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $66.48 / $79.73	Professional		$66.48	$66.48	$79.73
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 $48.55 / $81.11 / $148.60	Professional		$48.55	$81.11	$148.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.16 / $69.11 / $82.40	Facility		$53.16	$69.11	$82.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.97 / $98.89 / $124.87	Professional		$85.97	$98.89	$124.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $69.34 / $69.34	Facility		$69.34	$69.34	$69.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $97.08 / $198.62	Professional		$67.75	$97.08	$198.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $95.50 / $153.88	Professional		$78.30	$95.50	$153.88