Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.37 / $1,173.00 / $16,042.00	Facility		$464.37	$1,173.00	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.37 / $529.62 / $812.64	Professional		$464.37	$529.62	$812.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $456.15 / $464.54 / $720.04	Professional		$456.15	$464.54	$720.04
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $696.81 / $696.81 / $696.81	Professional	50	$696.81	$696.81	$696.81
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 $408.21 / $480.25 / $662.74	Professional		$408.21	$480.25	$662.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $612.30 / $720.37 / $994.11	Professional	50	$612.30	$720.37	$994.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $449.93 / $602.34 / $920.81	Facility		$449.93	$602.34	$920.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $464.54 / $580.67 / $836.18	Professional		$464.54	$580.67	$836.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.52 / $364.57 / $819.65	Facility		$336.52	$364.57	$819.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.61 / $651.42 / $1,049.24	Professional		$485.61	$651.42	$1,049.24
United Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $2,811.00 / $4,271.00	Facility		$462.00	$2,811.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $472.30 / $608.02 / $1,079.96	Professional		$472.30	$608.02	$1,079.96