Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.59 / $499.01 / $5,634.00	Facility		$98.59	$499.01	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $168.58 / $309.52	Professional		$87.98	$168.58	$309.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.70 / $129.06 / $271.95	Professional		$109.70	$129.06	$271.95
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 $78.61 / $129.18 / $245.44	Professional		$78.61	$129.18	$245.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.19 / $119.85 / $289.83	Facility		$92.19	$119.85	$289.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $209.69 / $251.63 / $314.54	Professional		$209.69	$251.63	$314.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.40 / $402.00 / $655.97	Facility		$171.40	$402.00	$655.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $185.00 / $376.46	Professional		$98.34	$185.00	$376.46
United Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $2,811.00 / $4,128.00	Facility		$538.00	$2,811.00	$4,128.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.86 / $217.03 / $380.25	Professional		$159.86	$217.03	$380.25