Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.38 / $2,318.00 / $7,212.00	Facility		$167.38	$2,318.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.38 / $292.41 / $497.14	Professional		$167.38	$292.41	$497.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $154.05 / $243.24	Professional		$77.03	$154.05	$243.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,570.00 / $13,758.00	Facility		$2,234.00	$5,570.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.66 / $370.64 / $542.01	Professional		$257.66	$370.64	$542.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $210.81 / $366.51	Facility		$162.16	$210.81	$366.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $266.24 / $306.18 / $399.36	Professional		$266.24	$306.18	$399.36
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 $215.54 / $439.23 / $727.54	Professional		$215.54	$439.23	$727.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $454.78 / $589.67 / $1,033.97	Professional		$454.78	$589.67	$1,033.97