Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $295.12 / $4,897.79	Facility		$32.36	$295.12	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $40.74 / $112.20	Professional		$20.89	$40.74	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.38 / $54.95	Professional		$15.14	$21.38	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $45.71	Facility		$23.44	$23.44	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $34.67 / $51.29	Professional		$19.95	$34.67	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $28.18 / $31.62	Facility		$21.88	$28.18	$31.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $45.71 / $54.95	Professional		$40.74	$45.71	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $64.57 / $141.25	Facility		$27.54	$64.57	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $38.90 / $70.79	Professional		$20.42	$38.90	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,290.87 / $7,413.10	Facility		$933.25	$2,290.87	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $33.88 / $67.61	Professional		$15.85	$33.88	$67.61