Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.31 / $226.88 / $5,634.00	Facility		$72.31	$226.88	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $116.22 / $192.74	Professional		$72.31	$116.22	$192.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $122.17 / $167.81	Professional		$61.09	$122.17	$167.81
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 $72.84 / $109.10 / $165.43	Professional		$72.84	$109.10	$165.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.56 / $96.68 / $112.64	Facility		$80.56	$96.68	$112.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.25 / $147.68 / $181.24	Professional		$134.25	$147.68	$181.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $122.72 / $204.03	Professional		$78.34	$122.72	$204.03
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 $110.50 / $149.05 / $254.60	Professional		$110.50	$149.05	$254.60