Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.55 / $896.66 / $5,198.83	Facility		$55.55	$896.66	$5,198.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $93.18 / $156.91	Professional		$47.78	$93.18	$156.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $50.06 / $96.82	Professional		$32.00	$50.06	$96.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $144.75	Facility		$75.00	$75.00	$144.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $108.94 / $183.97	Professional		$48.95	$108.94	$183.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.06 / $55.98 / $64.59	Facility		$43.06	$55.98	$64.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.81 / $122.17 / $152.72	Professional		$101.81	$122.17	$152.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.79 / $81.79 / $81.79	Facility		$81.79	$81.79	$81.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $103.40 / $244.22	Professional		$54.74	$103.40	$244.22
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.57 / $169.76 / $298.38	Professional		$122.57	$169.76	$298.38