Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.36 / $74.73 / $126.31	Facility		$54.36	$74.73	$126.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.76 / $74.73 / $114.52	Professional		$53.76	$74.73	$114.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $88.75 / $112.11	Professional		$71.00	$88.75	$112.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $56.30 / $79.94	Professional		$47.85	$56.30	$79.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.56 / $69.63 / $108.47	Facility		$53.56	$69.63	$108.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $89.69 / $112.11	Professional		$74.73	$89.69	$112.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.05 / $68.05 / $80.67	Facility		$68.05	$68.05	$80.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $91.43 / $154.47	Professional		$63.38	$91.43	$154.47
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 $66.00 / $87.60 / $161.36	Professional		$66.00	$87.60	$161.36