Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.89 / $1,386.00 / $11,093.00	Facility		$278.89	$1,386.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.89 / $415.72 / $560.52	Professional		$278.89	$415.72	$560.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $202.71 / $202.71 / $278.45	Professional		$202.71	$202.71	$278.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,073.00 / $5,061.00 / $9,462.00	Facility		$2,073.00	$5,061.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.25 / $407.01 / $661.65	Professional		$281.25	$407.01	$661.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $270.93 / $394.63 / $612.94	Facility		$270.93	$394.63	$612.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $445.52 / $534.62 / $643.59	Professional		$445.52	$534.62	$643.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.96 / $439.96 / $439.96	Facility		$439.96	$439.96	$439.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.42 / $526.27 / $810.33	Professional		$366.42	$526.27	$810.33
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 $388.69 / $523.62 / $815.69	Professional		$388.69	$523.62	$815.69