Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $543.00 / $5,634.00	Facility		$140.85	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.85 / $196.50 / $281.02	Professional		$140.85	$196.50	$281.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.02 / $139.02 / $197.79	Professional		$139.02	$139.02	$197.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.00 / $4,097.10 / $8,230.00	Facility		$1,042.00	$4,097.10	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.56 / $197.23 / $277.20	Professional		$135.56	$197.23	$277.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.63 / $200.49 / $313.69	Facility		$137.63	$200.49	$313.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $228.48 / $274.18 / $329.37	Professional		$228.48	$274.18	$329.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.42 / $212.42 / $212.42	Facility		$212.42	$212.42	$212.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.31 / $227.99 / $349.69	Professional		$150.31	$227.99	$349.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $261.33 / $387.22	Professional		$192.38	$261.33	$387.22