Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,348.96 / $3,715.35	Facility		$93.33	$1,348.96	$3,715.35
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility	52	$1,096.48	$1,096.48	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $114.82 / $275.42	Professional		$61.66	$114.82	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $181.97	Professional		$67.61	$123.03	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,801.89 / $3,801.89	Facility		$3,019.95	$3,801.89	$3,801.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $107.15	Professional		$54.95	$81.28	$107.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $91.20 / $114.82	Facility		$66.07	$91.20	$114.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $169.82	Professional		$85.11	$128.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	52	$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $616.60	Professional		$87.10	$158.49	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $114.82 / $204.17	Professional		$66.07	$114.82	$204.17