Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.77 / $553.52 / $1,039.15	Facility		$77.77	$553.52	$1,039.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.84 / $77.77 / $151.18	Professional		$36.84	$77.77	$151.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $74.68 / $114.61	Professional		$30.80	$74.68	$114.61
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 $53.37 / $112.23 / $177.26	Professional		$53.37	$112.23	$177.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $47.78 / $55.75	Facility		$39.82	$47.78	$55.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.96 / $92.36 / $113.35	Professional		$83.96	$92.36	$113.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $104.42 / $175.31	Professional		$50.61	$104.42	$175.31
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 $71.37 / $105.18 / $172.07	Professional		$71.37	$105.18	$172.07