Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.84 / $3,500.00 / $8,739.36	Facility		$332.84	$3,500.00	$8,739.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.23 / $332.84 / $469.14	Professional		$210.23	$332.84	$469.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $403.74 / $403.74 / $403.74	Professional		$403.74	$403.74	$403.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $5,757.57 / $8,388.00	Facility		$800.00	$5,757.57	$8,388.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.49 / $261.12 / $404.00	Professional		$180.49	$261.12	$404.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $310.57 / $403.74 / $465.86	Facility		$310.57	$403.74	$465.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $310.57 / $372.68 / $465.86	Professional		$310.57	$372.68	$465.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.86 / $761.00 / $1,873.52	Facility		$386.86	$761.00	$1,873.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.90 / $313.64 / $529.27	Professional		$183.90	$313.64	$529.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $5,379.00 / $9,243.00	Facility		$1,399.00	$5,379.00	$9,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.85 / $330.16 / $586.73	Professional		$235.85	$330.16	$586.73