Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.93 / $1,123.00 / $11,093.00	Facility		$468.93	$1,123.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.93 / $584.32 / $713.94	Professional		$468.93	$584.32	$713.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $638.90 / $638.90 / $638.90	Professional		$638.90	$638.90	$638.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.00 / $5,948.00 / $9,462.00	Facility		$2,754.00	$5,948.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.64 / $579.02 / $834.73	Professional		$456.64	$579.02	$834.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $461.35 / $672.00 / $870.28	Facility		$461.35	$672.00	$870.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $638.90 / $766.68 / $913.79	Professional		$638.90	$766.68	$913.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.83 / $1,314.83 / $1,314.83	Facility		$1,314.83	$1,314.83	$1,314.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.05 / $669.81 / $1,070.64	Professional		$503.05	$669.81	$1,070.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $535.92 / $725.29 / $1,117.24	Professional		$535.92	$725.29	$1,117.24