Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $362.33 / $3,320.96	Facility		$38.20	$362.33	$3,320.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $58.64 / $111.09	Professional		$28.35	$58.64	$111.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $36.46 / $48.83	Professional		$36.46	$36.46	$48.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $3,399.00 / $6,008.00	Facility		$575.00	$3,399.00	$6,008.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $49.10 / $94.25	Professional		$25.85	$49.10	$94.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $39.06 / $46.07	Facility		$32.54	$39.06	$46.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $99.45 / $122.05	Professional		$90.41	$99.45	$122.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.98 / $310.98 / $310.98	Facility		$310.98	$310.98	$310.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $52.92 / $135.19	Professional		$26.46	$52.92	$135.19
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 $57.96 / $79.33 / $103.77	Professional		$57.96	$79.33	$103.77