Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.31 / $607.42 / $4,846.00	Facility		$170.31	$607.42	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.31 / $246.94 / $388.73	Professional		$170.31	$246.94	$388.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.33 / $272.92 / $365.37	Professional		$144.33	$272.92	$365.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.00 / $4,353.00 / $8,052.00	Facility		$1,804.00	$4,353.00	$8,052.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.47 / $241.11 / $363.77	Professional		$172.47	$241.11	$363.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.53 / $242.57 / $412.94	Facility		$166.53	$242.57	$412.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $299.92 / $359.90 / $433.58	Professional		$299.92	$359.90	$433.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.32 / $287.32 / $287.32	Facility		$287.32	$287.32	$287.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $291.39 / $461.14	Professional		$195.00	$291.39	$461.14
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 $233.43 / $310.13 / $504.70	Professional		$233.43	$310.13	$504.70