Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $239.88 / $812.83	Facility		$61.66	$239.88	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $81.28 / $169.82	Professional		$46.77	$81.28	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $154.88	Professional		$45.71	$61.66	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $112.20	Professional		$45.71	$63.10	$112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $52.48 / $60.26	Facility		$47.86	$52.48	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $151.36	Professional		$52.48	$83.18	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,137.96 / $5,754.40	Facility		$131.83	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $74.13 / $125.89	Professional		$44.67	$74.13	$125.89