Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.28 / $727.78 / $5,634.00	Facility		$85.28	$727.78	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $134.37 / $247.00	Professional		$85.28	$134.37	$247.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.05 / $98.05 / $98.05	Professional		$98.05	$98.05	$98.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.55 / $221.68 / $311.45	Professional		$144.55	$221.68	$311.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.47 / $110.96 / $129.46	Facility		$92.47	$110.96	$129.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.76 / $139.44 / $171.13	Professional		$126.76	$139.44	$171.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.26 / $215.19 / $305.91	Professional		$117.26	$215.19	$305.91
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.06 / $178.84 / $288.69	Professional		$114.06	$178.84	$288.69