Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.02 / $355.48 / $7,212.00	Facility		$138.02	$355.48	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.02 / $200.75 / $262.48	Professional		$138.02	$200.75	$262.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.34 / $210.34 / $210.34	Professional		$210.34	$210.34	$210.34
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 $125.10 / $169.28 / $228.05	Professional		$125.10	$169.28	$228.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $187.65 / $253.92 / $342.08	Professional	50	$187.65	$253.92	$342.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $180.59 / $313.62	Facility		$134.88	$180.59	$313.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $210.34 / $262.93 / $378.62	Professional		$210.34	$262.93	$378.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.07 / $245.40 / $422.00	Facility		$200.07	$245.40	$422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.65 / $229.84 / $439.56	Professional		$136.65	$229.84	$439.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $5,995.00 / $10,413.00	Facility		$1,399.00	$5,995.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.04 / $250.67 / $413.94	Professional		$190.04	$250.67	$413.94