Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.74 / $272.29 / $5,634.00	Facility		$88.74	$272.29	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.74 / $152.25 / $203.06	Professional		$88.74	$152.25	$203.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $43.43 / $43.43	Professional		$43.43	$43.43	$43.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.00 / $5,230.00 / $8,240.00	Facility		$1,042.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.84 / $119.51 / $164.92	Professional		$87.84	$119.51	$164.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.86 / $116.28 / $208.47	Facility		$86.86	$116.28	$208.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.12 / $193.34 / $290.01	Professional		$161.12	$193.34	$290.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.44 / $356.73 / $664.68	Facility		$159.44	$356.73	$664.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $173.98 / $382.67	Professional		$97.01	$173.98	$382.67
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $3,817.00 / $5,490.00	Facility		$629.00	$3,817.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.93 / $189.85 / $315.08	Professional		$141.93	$189.85	$315.08