Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $912.01	Professional		$562.34	$812.83	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $776.25 / $954.99	Facility		$645.65	$776.25	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,348.96	Professional		$645.65	$812.83	$1,348.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $660.69 / $1,202.26	Facility		$67.61	$660.69	$1,202.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $524.81 / $741.31	Professional		$70.79	$524.81	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $79.43 / $794.33	Facility		$39.81	$79.43	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,000.00 / $1,584.89	Professional		$309.03	$1,000.00	$1,584.89