Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.07 / $318.89 / $1,090.28	Facility		$63.07	$318.89	$1,090.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $96.76 / $165.00	Professional		$47.79	$96.76	$165.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $65.38 / $71.40	Professional		$46.66	$65.38	$71.40
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 $75.17 / $158.78 / $246.10	Professional		$75.17	$158.78	$246.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.28 / $61.54 / $72.06	Facility		$51.28	$61.54	$72.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $114.81 / $140.90	Professional		$104.37	$114.81	$140.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $136.83 / $221.54	Professional		$65.97	$136.83	$221.54
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 $89.14 / $127.04 / $209.38	Professional		$89.14	$127.04	$209.38