Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.68 / $1,756.04 / $9,052.50	Facility		$170.68	$1,756.04	$9,052.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.01 / $170.68 / $255.42	Professional		$130.01	$170.68	$255.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.83 / $84.83 / $84.83	Professional		$84.83	$84.83	$84.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $5,757.57 / $8,388.00	Facility		$1,153.00	$5,757.57	$8,388.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.93 / $166.24 / $243.66	Professional		$125.93	$166.24	$243.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.13 / $188.10 / $254.58	Facility		$129.13	$188.10	$254.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.44 / $223.73 / $267.31	Professional		$186.44	$223.73	$267.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.76 / $167.76 / $167.76	Facility		$167.76	$167.76	$167.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.80 / $204.52 / $320.81	Professional		$141.80	$204.52	$320.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.26 / $209.68 / $317.74	Professional		$157.26	$209.68	$317.74