Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.00 / $231.23 / $617.52	Facility		$202.00	$231.23	$617.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.59 / $191.08 / $361.00	Professional		$165.59	$191.08	$361.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.37 / $222.45 / $266.94	Professional		$142.37	$222.45	$266.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.90 / $951.97 / $3,500.00	Facility		$180.90	$951.97	$3,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.96 / $180.90 / $256.87	Professional		$177.96	$180.90	$256.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.96 / $231.35 / $266.94	Facility		$177.96	$231.35	$266.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.96 / $204.65 / $251.74	Professional		$177.96	$204.65	$251.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.69 / $243.65 / $400.00	Professional		$180.69	$243.65	$400.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.87 / $212.98 / $355.28	Professional		$172.87	$212.98	$355.28