Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.90 / $6,114.94 / $9,759.54	Facility		$702.90	$6,114.94	$9,759.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.12 / $608.41 / $1,337.71	Professional		$505.12	$608.41	$1,337.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $552.40 / $690.50 / $828.60	Professional		$552.40	$690.50	$828.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $5,126.00 / $8,240.00	Facility		$1,943.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.45 / $594.70 / $820.68	Professional		$445.45	$594.70	$820.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $552.40 / $718.12 / $1,078.68	Facility		$552.40	$718.12	$1,078.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $552.40 / $662.88 / $828.60	Professional		$552.40	$662.88	$828.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.56 / $1,239.56 / $1,469.38	Facility		$1,239.56	$1,239.56	$1,469.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.74 / $712.13 / $1,197.60	Professional		$526.74	$712.13	$1,197.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.26 / $631.13 / $1,094.89	Professional		$477.26	$631.13	$1,094.89