Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.32 / $1,649.99 / $26,856.80	Facility		$848.32	$1,649.99	$26,856.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.21 / $3,700.69 / $79,555.60	Professional		$1,085.21	$3,700.69	$79,555.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $572.04 / $572.04 / $572.04	Professional		$572.04	$572.04	$572.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,650.00 / $40,050.00 / $56,650.00	Facility		$3,650.00	$40,050.00	$56,650.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $958.41 / $6,972.53 / $27,437.07	Professional		$958.41	$6,972.53	$27,437.07
Anthem BCBS Facility/Professional Professional Modifier 80 Low / Median / High Price $153.34 / $1,115.59 / $4,389.93	Professional	80	$153.34	$1,115.59	$4,389.93
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $134.16 / $976.15 / $3,841.19	Professional	AS	$134.16	$976.15	$3,841.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $653.54 / $941.10 / $13,349.88	Facility		$653.54	$941.10	$13,349.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9,761.54 / $12,085.72 / $16,734.08	Professional		$9,761.54	$12,085.72	$16,734.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.86 / $3,244.14 / $51,733.23	Professional		$1,088.86	$3,244.14	$51,733.23
United Facility/Professional Professional Modifier Low / Median / High Price $13,543.82 / $18,322.93 / $28,171.15	Professional		$13,543.82	$18,322.93	$28,171.15