Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $114.82 / $4,897.79	Facility		$45.71	$114.82	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $75.86 / $154.88	Professional		$46.77	$75.86	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $87.10	Professional		$47.86	$66.07	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $4,466.84 / $8,709.64	Facility		$501.19	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $114.82	Professional		$42.66	$70.79	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $63.10 / $69.18	Facility		$52.48	$63.10	$69.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $69.18 / $85.11	Professional		$61.66	$69.18	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $74.13 / $109.65	Facility		$56.23	$74.13	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $69.18 / $120.23	Professional		$45.71	$69.18	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,137.96 / $5,754.40	Facility		$165.96	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $61.66 / $97.72	Professional		$43.65	$61.66	$97.72