Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.76 / $787.00 / $3,108.69	Facility		$70.76	$787.00	$3,108.69
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $31.14 / $55.74 / $1,107.52	Facility	52	$31.14	$55.74	$1,107.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.78 / $111.47 / $153.05	Professional		$62.78	$111.47	$153.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.18 / $154.93 / $154.93	Professional		$119.18	$154.93	$154.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $3,389.00 / $3,766.00	Facility		$3,013.00	$3,389.00	$3,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $81.48 / $123.48	Professional		$54.39	$81.48	$123.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.55 / $94.57 / $111.46	Facility		$67.55	$94.57	$111.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.82 / $137.06 / $172.35	Professional		$87.82	$137.06	$172.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.29 / $124.29 / $124.29	Facility		$124.29	$124.29	$124.29
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.43 / $99.43 / $99.43	Facility	52	$99.43	$99.43	$99.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $141.44 / $254.77	Professional		$77.45	$141.44	$254.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.29 / $168.13 / $230.62	Professional		$104.29	$168.13	$230.62