Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.28 / $1,386.00 / $5,634.00	Facility		$124.28	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $124.28 / $184.38	Professional		$104.79	$124.28	$184.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $89.96 / $179.93	Professional		$89.96	$89.96	$179.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $3,896.00 / $8,230.00	Facility		$856.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.86 / $111.82 / $158.12	Professional		$94.86	$111.82	$158.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.95 / $155.94 / $179.93	Facility		$119.95	$155.94	$179.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.95 / $143.94 / $179.93	Professional		$119.95	$143.94	$179.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.79 / $172.79 / $204.82	Facility		$172.79	$172.79	$204.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.30 / $152.46 / $209.54	Professional		$124.30	$152.46	$209.54
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.48 / $138.62 / $244.34	Professional		$103.48	$138.62	$244.34