Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.80 / $1,386.00 / $9,877.12	Facility		$128.80	$1,386.00	$9,877.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $180.67 / $243.01	Professional		$126.62	$180.67	$243.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $80.59 / $80.59	Professional		$80.59	$80.59	$80.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,840.00 / $7,747.00	Facility		$1,682.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.95 / $186.20 / $334.05	Professional		$106.95	$186.20	$334.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.62 / $157.56 / $243.88	Facility		$123.62	$157.56	$243.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.86 / $204.54 / $266.79	Professional		$177.86	$204.54	$266.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.83 / $1,314.83 / $1,314.83	Facility		$1,314.83	$1,314.83	$1,314.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.03 / $224.34 / $396.80	Professional		$135.03	$224.34	$396.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,462.00 / $3,870.00 / $6,474.00	Facility		$2,462.00	$3,870.00	$6,474.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.70 / $219.66 / $371.40	Professional		$168.70	$219.66	$371.40