Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.19 / $1,386.00 / $10,596.76	Facility		$227.19	$1,386.00	$10,596.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.19 / $335.14 / $554.75	Professional		$220.19	$335.14	$554.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.46 / $212.91 / $322.27	Professional		$106.46	$212.91	$322.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.59 / $290.77 / $412.89	Professional		$170.59	$290.77	$412.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $224.12 / $291.36 / $467.29	Facility		$224.12	$291.36	$467.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $339.23 / $407.08 / $508.85	Professional		$339.23	$407.08	$508.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.23 / $321.23 / $380.78	Facility		$321.23	$321.23	$380.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.16 / $403.41 / $619.29	Professional		$261.16	$403.41	$619.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,341.25 / $5,174.00 / $9,243.00	Facility		$1,341.25	$5,174.00	$9,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.72 / $402.21 / $794.00	Professional		$317.72	$402.21	$794.00