Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $2,674.89 / $6,795.80	Facility		$60.32	$2,674.89	$6,795.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $91.91 / $180.02	Professional		$47.72	$91.91	$180.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.29 / $100.88 / $113.82	Professional		$61.29	$100.88	$113.82
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 $43.54 / $74.80 / $164.45	Professional		$43.54	$74.80	$164.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.17 / $60.02 / $136.46	Facility		$46.17	$60.02	$136.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $112.77 / $143.28	Professional		$98.06	$112.77	$143.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.31 / $105.48 / $183.74	Professional		$59.31	$105.48	$183.74
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,291.00 / $4,426.00	Facility		$600.00	$2,291.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $97.92 / $161.10	Professional		$70.37	$97.92	$161.10