Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.60 / $1,386.00 / $7,246.18	Facility		$121.60	$1,386.00	$7,246.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.60 / $208.80 / $751.52	Professional		$121.60	$208.80	$751.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.08 / $153.01 / $158.00	Professional		$84.08	$153.01	$158.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $5,083.00 / $8,240.00	Facility		$800.00	$5,083.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.50 / $184.87 / $267.14	Professional		$146.50	$184.87	$267.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.10 / $145.72 / $255.31	Facility		$112.10	$145.72	$255.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.87 / $221.84 / $277.31	Professional		$184.87	$221.84	$277.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.39 / $761.00 / $848.27	Facility		$210.39	$761.00	$848.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.12 / $218.27 / $371.47	Professional		$132.12	$218.27	$371.47
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,817.00 / $5,402.00	Facility		$900.00	$3,817.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.73 / $219.71 / $391.26	Professional		$169.73	$219.71	$391.26