Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.76 / $1,386.00 / $7,954.00	Facility		$88.76	$1,386.00	$7,954.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $203.40 / $358.63	Professional		$88.76	$203.40	$358.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.48 / $120.48 / $129.09	Professional		$120.48	$120.48	$129.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $5,126.00 / $8,240.00	Facility		$1,943.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.65 / $177.98 / $252.73	Professional		$113.65	$177.98	$252.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.06 / $111.88 / $266.58	Facility		$86.06	$111.88	$266.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.31 / $233.17 / $291.47	Professional		$194.31	$233.17	$291.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,868.80 / $1,868.80 / $2,215.28	Facility		$1,868.80	$1,868.80	$2,215.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.64 / $231.37 / $447.32	Professional		$118.64	$231.37	$447.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $6,436.00	Facility		$2,400.00	$3,870.00	$6,436.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.39 / $260.93 / $469.91	Professional		$207.39	$260.93	$469.91