Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,659.59 / $9,332.54	Facility		$724.44	$1,659.59	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $2,884.03	Professional		$741.31	$1,023.29	$2,884.03
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $25.12 / $269.15 / $1,148.15	Professional	AS	$25.12	$269.15	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $1,122.02	Professional		$588.84	$933.25	$1,122.02
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $67.61 / $67.61 / $125.89	Professional	AS	$67.61	$67.61	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $13,803.84 / $19,054.61	Facility		$4,365.16	$13,803.84	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,862.09	Professional		$831.76	$1,202.26	$1,862.09
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $117.49 / $165.96 / $257.04	Professional	AS	$117.49	$165.96	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,122.02	Facility		$812.83	$1,000.00	$1,122.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,348.96	Professional		$977.24	$1,096.48	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,737.80	Facility		$954.99	$1,202.26	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,096.48 / $1,479.11	Professional		$691.83	$1,096.48	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,762.47 / $10,964.78	Facility		$3,090.30	$7,762.47	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,621.81	Professional		$707.95	$1,023.29	$1,621.81