Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $197.36 / $5,634.00	Facility		$38.29	$197.36	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $75.90 / $136.31	Professional		$38.29	$75.90	$136.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $53.07 / $53.07	Professional		$53.07	$53.07	$53.07
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 $45.74 / $62.65 / $88.96	Professional		$45.74	$62.65	$88.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.49 / $75.81 / $127.08	Facility		$59.49	$75.81	$127.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.78 / $133.43 / $175.17	Professional		$116.78	$133.43	$175.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.34 / $105.34 / $105.34	Facility		$105.34	$105.34	$105.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $88.86 / $170.81	Professional		$46.97	$88.86	$170.81
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 $69.00 / $96.57 / $150.62	Professional		$69.00	$96.57	$150.62