Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.47 / $645.53 / $7,212.00	Facility		$201.47	$645.53	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.47 / $264.25 / $456.37	Professional		$201.47	$264.25	$456.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.02 / $195.02 / $195.02	Professional		$195.02	$195.02	$195.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.00 / $4,353.00 / $8,052.00	Facility		$1,804.00	$4,353.00	$8,052.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.21 / $454.22 / $630.16	Professional		$374.21	$454.22	$630.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $195.02 / $261.08 / $453.42	Facility		$195.02	$261.08	$453.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $241.85 / $302.31 / $435.33	Professional		$241.85	$302.31	$435.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.07 / $354.05 / $565.00	Facility		$198.07	$354.05	$565.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.08 / $485.43 / $772.81	Professional		$261.08	$485.43	$772.81
United Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $2,174.00 / $4,426.00	Facility		$119.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.88 / $552.01 / $927.16	Professional		$428.88	$552.01	$927.16