Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.71 / $1,386.00 / $5,634.00	Facility		$37.71	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $39.27 / $50.85	Professional		$37.71	$39.27	$50.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $30.94 / $30.94	Professional		$30.94	$30.94	$30.94
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 $40.08 / $52.67 / $83.48	Professional		$40.08	$52.67	$83.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $52.00 / $56.00	Facility		$35.70	$52.00	$56.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $48.00 / $57.20	Professional		$40.00	$48.00	$57.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $63.82 / $117.38	Professional		$43.89	$63.82	$117.38
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 $36.27 / $50.98 / $82.34	Professional		$36.27	$50.98	$82.34