Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $1,380.38 / $5,623.41	Facility		$64.57	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $131.83	Professional		$56.23	$74.13	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $58.88 / $77.62	Professional		$29.51	$58.88	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,709.64 / $11,220.18	Facility		$4,265.80	$8,709.64	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $154.88	Professional		$48.98	$91.20	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $60.26 / $67.61	Facility		$57.54	$60.26	$67.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $93.33 / $151.36	Facility		$66.07	$93.33	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $169.82	Professional		$57.54	$87.10	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,715.35 / $6,456.54	Facility		$1,230.27	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $120.23	Professional		$53.70	$75.86	$120.23