Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.12 / $329.95 / $4,846.00	Facility		$42.12	$329.95	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $82.20 / $185.47	Professional		$36.57	$82.20	$185.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.83 / $139.97 / $143.57	Professional		$94.83	$139.97	$143.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $4,119.97 / $8,230.00	Facility		$600.00	$4,119.97	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $58.41 / $142.41	Professional		$32.76	$58.41	$142.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.54 / $48.80 / $57.80	Facility		$37.54	$48.80	$57.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.55 / $123.06 / $153.35	Professional		$102.55	$123.06	$153.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $69.44 / $761.00	Facility		$69.44	$69.44	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $84.34 / $177.83	Professional		$38.65	$84.34	$177.83
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 $74.36 / $100.80 / $179.01	Professional		$74.36	$100.80	$179.01