Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.52 / $126.79 / $4,846.00	Facility		$113.52	$126.79	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.40 / $126.79 / $153.25	Professional		$113.40	$126.79	$153.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.07 / $111.07 / $111.07	Professional		$111.07	$111.07	$111.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $116.82 / $157.69	Professional		$93.45	$116.82	$157.69
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $140.18 / $175.23 / $236.56	Professional	50	$140.18	$175.23	$236.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.07 / $148.69 / $241.29	Facility		$111.07	$148.69	$241.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $151.88 / $218.70	Professional		$121.50	$151.88	$218.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.43 / $201.77 / $422.00	Facility		$98.43	$201.77	$422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.25 / $143.52 / $277.66	Professional		$98.25	$143.52	$277.66
United Facility/Professional Facility Modifier Low / Median / High Price $258.00 / $2,253.00 / $4,426.00	Facility		$258.00	$2,253.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.62 / $145.50 / $239.69	Professional		$108.62	$145.50	$239.69