Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.38 / $4,846.00 / $10,188.86	Facility		$131.38	$4,846.00	$10,188.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.07 / $148.38 / $289.61	Professional		$129.07	$148.38	$289.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.81 / $95.81 / $121.36	Professional		$95.81	$95.81	$121.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,570.00 / $13,758.00	Facility		$2,234.00	$5,570.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.77 / $271.02 / $402.03	Professional		$189.77	$271.02	$402.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.74 / $166.06 / $191.61	Facility		$127.74	$166.06	$191.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.74 / $141.15 / $191.61	Professional		$127.74	$141.15	$191.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.75 / $1,610.75 / $1,909.39	Facility		$1,610.75	$1,610.75	$1,909.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $269.67 / $443.82	Professional		$150.66	$269.67	$443.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.15 / $209.19 / $371.35	Professional		$129.15	$209.19	$371.35