Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.97 / $824.00 / $5,634.00	Facility		$73.97	$824.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $76.23 / $181.06	Professional		$67.95	$76.23	$181.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $61.31 / $61.31	Professional		$61.31	$61.31	$61.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $15,450.00 / $23,392.06	Facility		$5,091.00	$15,450.00	$23,392.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.77 / $107.69 / $148.61	Professional		$62.77	$107.69	$148.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.37 / $87.58 / $101.06	Facility		$67.37	$87.58	$101.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $80.36 / $97.83	Professional		$67.37	$80.36	$97.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $96.08 / $216.14	Professional		$71.37	$96.08	$216.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $92.20 / $148.32	Professional		$74.05	$92.20	$148.32