Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.27 / $549.29 / $4,846.00	Facility		$108.27	$549.29	$4,846.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $40.13 / $54.14 / $99.29	Facility	52	$40.13	$54.14	$99.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.25 / $110.63 / $224.00	Professional		$80.25	$110.63	$224.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $68.28 / $142.21	Professional		$68.28	$68.28	$142.21
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 $69.38 / $86.78 / $126.55	Professional		$69.38	$86.78	$126.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.27 / $105.92 / $123.58	Facility		$88.27	$105.92	$123.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $129.25 / $158.63	Professional		$117.50	$129.25	$158.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.38 / $108.38 / $108.38	Facility		$108.38	$108.38	$108.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $126.82 / $206.42	Professional		$86.57	$126.82	$206.42
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.71 / $129.05 / $203.38	Professional		$89.71	$129.05	$203.38