Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.56 / $87.78 / $4,846.00	Facility		$42.56	$87.78	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $78.84 / $118.92	Professional		$41.38	$78.84	$118.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.44 / $67.44 / $67.44	Professional		$67.44	$67.44	$67.44
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 $45.12 / $56.41 / $80.09	Professional		$45.12	$56.41	$80.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.07 / $54.69 / $65.20	Facility		$42.07	$54.69	$65.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $98.11 / $123.93	Professional		$85.31	$98.11	$123.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.10 / $84.10 / $84.10	Facility		$84.10	$84.10	$84.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $105.89 / $200.25	Professional		$52.10	$105.89	$200.25
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 $90.59 / $107.74 / $191.36	Professional		$90.59	$107.74	$191.36