Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.04 / $200.66 / $9,999.71	Facility		$45.04	$200.66	$9,999.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.70 / $48.35	Professional		$40.29	$40.70	$48.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $44.59 / $46.82	Professional		$44.59	$44.59	$46.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $80.58 / $97.50	Facility		$40.29	$80.58	$97.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $44.59 / $63.31	Professional		$40.29	$44.59	$63.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $40.29 / $60.44	Facility		$40.29	$40.29	$60.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $50.36	Professional		$40.29	$40.29	$50.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $40.29 / $63.75	Facility		$40.29	$40.29	$63.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $57.02	Professional		$40.29	$40.29	$57.02
United Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $42.71 / $68.48	Professional		$40.29	$42.71	$68.48