Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,890.45 / $19,054.61	Facility		$616.60	$3,890.45	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,621.81 / $3,548.13	Professional		$457.09	$1,621.81	$3,548.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $38,904.51 / $52,480.75	Facility		$3,467.37	$38,904.51	$52,480.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,548.82 / $3,090.30	Professional		$416.87	$1,548.82	$3,090.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $446.68 / $489.78	Facility		$416.87	$446.68	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,344.23 / $3,890.45	Facility		$467.74	$2,344.23	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,995.26 / $3,388.44	Professional		$478.63	$1,995.26	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $13,803.84 / $20,417.38	Facility		$6,456.54	$13,803.84	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,862.09 / $4,265.80	Professional		$436.52	$1,862.09	$4,265.80