Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.14 / $724.58 / $1,190.10	Facility		$69.14	$724.58	$1,190.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $114.42 / $290.63	Professional		$53.00	$114.42	$290.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $59.48 / $95.71	Professional		$38.40	$59.48	$95.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.94 / $54.94 / $106.03	Facility		$54.94	$54.94	$106.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.69 / $103.05 / $273.01	Professional		$46.69	$103.05	$273.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.29 / $62.75 / $78.44	Facility		$52.29	$62.75	$78.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.27 / $249.92 / $312.41	Professional		$208.27	$249.92	$312.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $157.46 / $472.56	Professional		$60.31	$157.46	$472.56
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.19 / $199.58 / $365.27	Professional		$119.19	$199.58	$365.27