Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $209.99 / $4,846.00	Facility		$24.01	$209.99	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $29.26 / $49.32	Professional		$20.94	$29.26	$49.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $33.04 / $33.04	Professional		$33.04	$33.04	$33.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $23.43 / $174.00	Facility		$23.43	$23.43	$174.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $29.19 / $46.27	Professional		$18.73	$29.19	$46.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.03 / $26.44 / $31.46	Facility		$22.03	$26.44	$31.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $44.57 / $54.70	Professional		$40.52	$44.57	$54.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.72 / $139.72 / $139.72	Facility		$139.72	$139.72	$139.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $41.86 / $76.06	Professional		$20.29	$41.86	$76.06
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 $28.37 / $43.59 / $79.28	Professional		$28.37	$43.59	$79.28