Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $1,862.09 / $5,623.41	Facility		$95.50	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $190.55 / $295.12	Professional		$85.11	$190.55	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $8,317.64 / $10,471.29	Facility		$2,187.76	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $151.36 / $263.03	Professional		$83.18	$151.36	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $87.10 / $100.00	Facility		$85.11	$87.10	$100.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $398.11 / $851.14	Facility		$151.36	$398.11	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $199.53 / $363.08	Professional		$97.72	$199.53	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $6,456.54	Facility		$977.24	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $275.42	Professional		$85.11	$162.18	$275.42