Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.32 / $104.44 / $4,846.00	Facility		$47.32	$104.44	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $65.95 / $137.00	Professional		$47.32	$65.95	$137.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $76.44 / $80.73	Professional		$67.98	$76.44	$80.73
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 $42.92 / $50.50 / $68.17	Professional		$42.92	$50.50	$68.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $64.38 / $75.75 / $102.26	Professional	50	$64.38	$75.75	$102.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.69 / $59.40 / $89.10	Facility		$45.69	$59.40	$89.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $71.06 / $92.70	Professional		$61.80	$71.06	$92.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $83.48	Facility		$50.00	$50.00	$83.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.51 / $70.79 / $140.49	Professional		$51.51	$70.79	$140.49
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 $59.20 / $76.62 / $139.30	Professional		$59.20	$76.62	$139.30