Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $543.00 / $5,634.00	Facility		$34.22	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.74 / $34.22 / $52.78	Professional		$31.74	$34.22	$52.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $46.85 / $46.85	Professional		$46.85	$46.85	$46.85
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 $36.01 / $84.40 / $116.90	Professional		$36.01	$84.40	$116.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.85 / $40.60 / $46.85	Facility		$31.85	$40.60	$46.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $35.90 / $46.85	Professional		$31.23	$35.90	$46.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.36 / $166.36 / $166.36	Facility		$166.36	$166.36	$166.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $55.96 / $120.22	Professional		$36.22	$55.96	$120.22
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 $33.70 / $41.79 / $68.65	Professional		$33.70	$41.79	$68.65