Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.77 / $79.00 / $400.00	Facility		$64.77	$79.00	$400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $123.00 / $124.85	Professional		$80.00	$123.00	$124.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.67 / $90.00 / $105.10	Facility		$52.67	$90.00	$105.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $34.89 / $40.00	Professional		$27.91	$34.89	$40.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.00 / $140.26	Facility		$100.00	$120.00	$140.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $121.00 / $200.00	Professional		$100.00	$121.00	$200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $76.31 / $120.00	Facility		$65.00	$76.31	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $112.48 / $482.00	Professional		$45.74	$112.48	$482.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $52.33 / $110.00	Professional		$42.00	$52.33	$110.00