Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $36.44 / $4,846.00	Facility		$33.97	$36.44	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $39.74 / $63.77	Professional		$33.97	$39.74	$63.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $32.65 / $32.65	Professional		$32.65	$32.65	$32.65
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 $33.11 / $41.41 / $58.80	Professional		$33.11	$41.41	$58.80
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $49.69 / $62.11 / $88.20	Professional	50	$49.69	$62.11	$88.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.03 / $44.22 / $69.31	Facility		$33.03	$44.22	$69.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $43.89 / $63.20	Professional		$35.11	$43.89	$63.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $60.39	Facility		$50.00	$50.00	$60.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $55.78 / $108.56	Professional		$38.65	$55.78	$108.56
United Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $2,174.00 / $4,426.00	Facility		$119.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $61.00 / $105.14	Professional		$42.23	$61.00	$105.14