Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.08 / $4,846.00 / $7,799.46	Facility		$320.08	$4,846.00	$7,799.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.18 / $278.33 / $1,140.00	Professional		$230.18	$278.33	$1,140.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $31.36 / $48.27 / $100.99	Professional	AS	$31.36	$48.27	$100.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.48 / $257.89 / $333.93	Professional		$211.48	$257.89	$333.93
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $28.76 / $28.76 / $28.76	Professional	AS	$28.76	$28.76	$28.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.86 / $470.65 / $40,802.00	Facility		$243.86	$470.65	$40,802.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.28 / $243.86 / $342.52	Professional		$207.28	$243.86	$342.52
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $29.01 / $34.14 / $47.95	Professional	AS	$29.01	$34.14	$47.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.62 / $278.27 / $333.93	Facility		$222.62	$278.27	$333.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.62 / $267.14 / $333.26	Professional		$222.62	$267.14	$333.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.79 / $323.76 / $431.55	Professional		$243.79	$323.76	$431.55
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $5,520.00	Facility		$933.00	$2,252.00	$5,520.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.87 / $298.52 / $517.28	Professional		$211.87	$298.52	$517.28