Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.99 / $815.14 / $5,634.00	Facility		$148.99	$815.14	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.68 / $181.88 / $268.36	Professional		$131.68	$181.88	$268.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.24 / $203.38 / $203.38	Professional		$186.24	$203.38	$203.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,635.00 / $5,445.00	Facility		$1,636.00	$3,635.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $138.91 / $216.06	Professional		$103.11	$138.91	$216.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.16 / $161.41 / $238.13	Facility		$124.16	$161.41	$238.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $198.70 / $259.17	Professional		$172.78	$198.70	$259.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.36 / $166.36 / $402.00	Facility		$166.36	$166.36	$402.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $199.45 / $340.86	Professional		$140.97	$199.45	$340.86
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,174.00 / $4,426.00	Facility		$500.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $202.22 / $338.52	Professional		$157.63	$202.22	$338.52