Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $2,274.71 / $7,954.00	Facility		$219.86	$2,274.71	$7,954.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $384.64 / $1,109.35	Professional		$197.00	$384.64	$1,109.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.41 / $208.41 / $345.93	Professional		$208.41	$208.41	$345.93
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 $244.38 / $694.45 / $2,182.36	Professional		$244.38	$694.45	$2,182.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.22 / $238.19 / $1,003.36	Facility		$183.22	$238.19	$1,003.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $716.76 / $822.48 / $1,075.14	Professional		$716.76	$822.48	$1,075.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.38 / $761.00 / $1,158.10	Facility		$343.38	$761.00	$1,158.10
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $274.70 / $274.70 / $274.70	Facility	52	$274.70	$274.70	$274.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $68.68 / $68.68 / $68.68	Facility	53	$68.68	$68.68	$68.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.49 / $514.66 / $1,636.58	Professional		$223.49	$514.66	$1,636.58
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 $824.62 / $1,140.02 / $1,910.56	Professional		$824.62	$1,140.02	$1,910.56