Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.40 / $2,329.67 / $3,473.03	Facility		$129.40	$2,329.67	$3,473.03
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $30.79 / $30.79 / $56.76	Facility	52	$30.79	$30.79	$56.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $112.43 / $191.25	Professional		$62.27	$112.43	$191.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $82.67 / $156.55	Professional		$70.27	$82.67	$156.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $95.87 / $158.71	Professional		$60.25	$95.87	$158.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.14 / $85.98 / $102.52	Facility		$66.14	$85.98	$102.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.42 / $138.47 / $174.51	Professional		$120.42	$138.47	$174.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.05 / $506.05 / $506.05	Facility		$506.05	$506.05	$506.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $139.63 / $214.87	Professional		$81.83	$139.63	$214.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $147.63 / $257.27	Professional		$121.00	$147.63	$257.27