Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.46 / $4,846.00 / $9,115.01	Facility		$227.46	$4,846.00	$9,115.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.46 / $246.06 / $374.25	Professional		$227.46	$246.06	$374.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $332.18 / $332.18 / $332.18	Professional		$332.18	$332.18	$332.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,266.00 / $5,570.00 / $13,810.27	Facility		$2,266.00	$5,570.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.74 / $501.80 / $692.48	Professional		$262.74	$501.80	$692.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.88 / $287.89 / $332.18	Facility		$225.88	$287.89	$332.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $221.45 / $265.74 / $332.18	Professional		$221.45	$265.74	$332.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,218.40 / $2,218.40 / $2,218.40	Facility		$2,218.40	$2,218.40	$2,218.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.64 / $333.25 / $662.38	Professional		$236.64	$333.25	$662.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.81 / $287.72 / $479.12	Professional		$236.81	$287.72	$479.12