Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.28 / $2,318.00 / $8,295.84	Facility		$115.28	$2,318.00	$8,295.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.66 / $216.22 / $309.27	Professional		$107.66	$216.22	$309.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $160.44 / $160.44	Professional		$114.60	$160.44	$160.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,399.00 / $6,008.00	Facility		$949.00	$3,399.00	$6,008.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.31 / $128.61 / $206.73	Professional		$109.31	$128.61	$206.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.08 / $144.40 / $166.62	Facility		$111.08	$144.40	$166.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $238.89 / $268.83 / $366.59	Professional		$238.89	$268.83	$366.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.15 / $207.15 / $207.15	Facility		$207.15	$207.15	$207.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.60 / $246.32 / $445.45	Professional		$135.60	$246.32	$445.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,811.00 / $4,271.00	Facility		$1,638.00	$2,811.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.55 / $303.64 / $524.05	Professional		$247.55	$303.64	$524.05