Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $773.47 / $7,212.00	Facility		$23.10	$773.47	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $28.32 / $38.97	Professional		$21.36	$28.32	$38.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $23.03 / $23.03	Professional		$23.03	$23.03	$23.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $740.96 / $4,119.97 / $8,230.00	Facility		$740.96	$4,119.97	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $24.27 / $126.94	Professional		$19.41	$24.27	$126.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $37.52 / $47.62	Facility		$22.73	$37.52	$47.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $38.96 / $50.65	Professional		$30.30	$38.96	$50.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $18.64 / $22.10	Facility		$18.64	$18.64	$22.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $37.42 / $69.19	Professional		$25.88	$37.42	$69.19
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 $28.77 / $41.71 / $67.31	Professional		$28.77	$41.71	$67.31