Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.85 / $364.32 / $5,634.00	Facility		$148.85	$364.32	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $201.22 / $268.77	Professional		$142.77	$201.22	$268.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $185.60 / $258.88	Professional		$83.68	$185.60	$258.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $4,880.00 / $8,240.00	Facility		$800.00	$4,880.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.68 / $187.41 / $356.59	Professional		$120.68	$187.41	$356.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.09 / $182.12 / $266.83	Facility		$140.09	$182.12	$266.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.14 / $238.97 / $298.70	Professional		$199.14	$238.97	$298.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.52 / $208.52 / $761.00	Facility		$208.52	$208.52	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.33 / $229.28 / $385.71	Professional		$158.33	$229.28	$385.71
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 $182.18 / $225.86 / $374.74	Professional		$182.18	$225.86	$374.74