Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.71 / $4,846.00 / $8,819.90	Facility		$156.71	$4,846.00	$8,819.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.71 / $299.52 / $506.06	Professional		$156.71	$299.52	$506.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $72.41 / $72.41	Professional		$72.41	$72.41	$72.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.00 / $5,230.00 / $8,240.00	Facility		$1,042.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.68 / $341.32 / $614.02	Professional		$202.68	$341.32	$614.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.50 / $198.19 / $476.71	Facility		$155.50	$198.19	$476.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $329.30 / $395.16 / $500.55	Professional		$329.30	$395.16	$500.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,286.40 / $1,286.40 / $1,286.40	Facility		$1,286.40	$1,286.40	$1,286.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.72 / $352.82 / $626.66	Professional		$181.72	$352.82	$626.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,716.78 / $3,027.00 / $5,402.00	Facility		$1,716.78	$3,027.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.58 / $396.58 / $677.19	Professional		$292.58	$396.58	$677.19