Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $4,897.79 / $14,125.38	Facility		$707.95	$4,897.79	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $1,258.93	Professional		$616.60	$724.44	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $24,547.09 / $31,622.78	Facility		$4,570.88	$24,547.09	$31,622.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $1,000.00	Professional		$537.03	$630.96	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $660.69 / $741.31	Facility		$630.96	$660.69	$741.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,148.15 / $3,801.89	Facility		$758.58	$1,148.15	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,230.27	Professional		$549.54	$851.14	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,964.78 / $17,378.01	Facility		$4,897.79	$10,964.78	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,174.90	Professional		$562.34	$776.25	$1,174.90