Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.74 / $768.77 / $8,041.15	Facility		$63.74	$768.77	$8,041.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $88.41 / $134.16	Professional		$63.74	$88.41	$134.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $84.31 / $84.31	Professional		$84.31	$84.31	$84.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $87.02 / $156.36	Professional		$53.60	$87.02	$156.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.13 / $76.64 / $127.85	Facility		$60.13	$76.64	$127.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.65 / $111.18 / $138.97	Professional		$92.65	$111.18	$138.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $73.70 / $73.70	Facility		$73.70	$73.70	$73.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $101.31 / $198.39	Professional		$73.05	$101.31	$198.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.66 / $105.03 / $169.03	Professional		$77.66	$105.03	$169.03