Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $296.97 / $4,846.00	Facility		$31.62	$296.97	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $89.62 / $175.00	Professional		$33.29	$89.62	$175.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.97 / $89.09 / $113.59	Professional		$72.97	$89.09	$113.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $62.19 / $115.69	Professional		$31.05	$62.19	$115.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $41.06 / $47.91	Facility		$34.22	$41.06	$47.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.09 / $98.00 / $120.27	Professional		$89.09	$98.00	$120.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.11 / $97.11 / $97.11	Facility		$97.11	$97.11	$97.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $81.27 / $134.38	Professional		$42.08	$81.27	$134.38
United Facility/Professional Facility Modifier Low / Median / High Price $866.00 / $2,253.00 / $4,426.00	Facility		$866.00	$2,253.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $106.91 / $163.47	Professional		$76.87	$106.91	$163.47