Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.52 / $78.44 / $5,634.00	Facility		$30.52	$78.44	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $35.77 / $47.02	Professional		$30.52	$35.77	$47.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $14.80 / $20.72	Professional		$14.80	$14.80	$20.72
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 $12.06 / $14.19 / $28.38	Professional		$12.06	$14.19	$28.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $38.47 / $47.39	Facility		$26.42	$38.47	$47.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.34 / $49.75	Professional		$34.67	$43.34	$49.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.30 / $450.00 / $646.00	Facility		$54.30	$450.00	$646.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $42.63 / $60.67	Professional		$32.24	$42.63	$60.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $5,995.00 / $10,413.00	Facility		$1,399.00	$5,995.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $44.57 / $80.12	Professional		$32.61	$44.57	$80.12