Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $891.25	Professional		$478.63	$724.44	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $870.96 / $1,174.90	Professional		$478.63	$870.96	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,023.29 / $1,513.56	Professional		$954.99	$1,023.29	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $208.93 / $1,862.09	Facility		$204.17	$208.93	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $812.83	Facility		$794.33	$794.33	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,348.96	Professional		$676.08	$794.33	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $537.03 / $1,047.13	Facility		$72.44	$537.03	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $977.24	Professional		$446.68	$676.08	$977.24