Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.48 / $2,453.00 / $16,042.00	Facility		$969.48	$2,453.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.23 / $976.06 / $1,337.36	Professional		$876.23	$976.06	$1,337.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $598.09 / $598.09 / $1,196.19	Professional		$598.09	$598.09	$1,196.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,390.00 / $10,182.00 / $16,615.00	Facility		$3,390.00	$10,182.00	$16,615.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.00 / $603.55 / $896.00	Professional		$476.00	$603.55	$896.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $946.72 / $1,230.74 / $1,420.08	Facility		$946.72	$1,230.74	$1,420.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $946.72 / $1,046.13 / $1,420.08	Professional		$946.72	$1,046.13	$1,420.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.34 / $2,116.34 / $2,508.71	Facility		$2,116.34	$2,116.34	$2,508.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.61 / $1,141.54 / $1,930.18	Professional		$755.61	$1,141.54	$1,930.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,874.00 / $5,490.00	Facility		$2,400.00	$3,874.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $835.77 / $1,074.26 / $1,944.89	Professional		$835.77	$1,074.26	$1,944.89