Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.72 / $543.00 / $5,634.00	Facility		$57.72	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $109.66 / $219.94	Professional		$55.40	$109.66	$219.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.32 / $84.32 / $84.32	Professional		$84.32	$84.32	$84.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.00 / $3,548.00 / $4,847.00	Facility		$756.00	$3,548.00	$4,847.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.21 / $76.62 / $108.80	Professional		$56.21	$76.62	$108.80
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $84.31 / $114.93 / $163.19	Professional	50	$84.31	$114.93	$163.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.33 / $86.00 / $126.48	Facility		$57.33	$86.00	$126.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.92 / $151.15 / $217.65	Professional		$120.92	$151.15	$217.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $133.35 / $236.00	Professional		$71.33	$133.35	$236.00
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 $99.07 / $142.00 / $243.33	Professional		$99.07	$142.00	$243.33