Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.10 / $879.10 / $1,776.15	Facility		$879.10	$879.10	$1,776.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.37 / $912.91 / $968.74	Professional		$872.37	$912.91	$968.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,332.11 / $1,332.11 / $1,332.11	Professional		$1,332.11	$1,332.11	$1,332.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,403.16 / $1,589.65 / $1,776.15	Facility		$1,403.16	$1,589.65	$1,776.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $885.65 / $1,124.88 / $1,518.58	Professional		$885.65	$1,124.88	$1,518.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,355.84 / $1,953.77 / $2,664.23	Facility		$1,355.84	$1,953.77	$2,664.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,509.73 / $1,953.77 / $2,397.80	Professional		$1,509.73	$1,953.77	$2,397.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.25 / $1,037.25 / $1,776.15	Facility		$1,037.25	$1,037.25	$1,776.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $1,037.25 / $1,821.99	Professional		$757.19	$1,037.25	$1,821.99
United Facility/Professional Professional Modifier Low / Median / High Price $552.10 / $878.20 / $1,308.48	Professional		$552.10	$878.20	$1,308.48