Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.90 / $927.00 / $9,479.90	Facility		$182.90	$927.00	$9,479.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.90 / $270.68 / $345.78	Professional		$182.90	$270.68	$345.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $299.01 / $299.01 / $299.01	Professional		$299.01	$299.01	$299.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,266.00 / $5,570.00 / $13,810.27	Facility		$2,266.00	$5,570.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $343.22 / $543.98	Professional		$221.71	$343.22	$543.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $211.80 / $305.00 / $448.52	Facility		$211.80	$305.00	$448.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $296.99 / $367.71 / $509.13	Professional		$296.99	$367.71	$509.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,061.25 / $2,061.25 / $2,061.25	Facility		$2,061.25	$2,061.25	$2,061.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.25 / $351.01 / $671.75	Professional		$230.25	$351.01	$671.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.16 / $364.56 / $579.77	Professional		$288.16	$364.56	$579.77