Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $174.05 / $5,634.00	Facility		$68.59	$174.05	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $110.64 / $180.00	Professional		$68.59	$110.64	$180.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $34.29 / $50.90 / $61.33	Professional	52	$34.29	$50.90	$61.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.23 / $120.70 / $180.05	Professional		$109.23	$120.70	$180.05
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 $60.26 / $93.72 / $149.78	Professional		$60.26	$93.72	$149.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.08 / $92.50 / $106.83	Facility		$77.08	$92.50	$106.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.03 / $132.03 / $162.04	Professional		$120.03	$132.03	$162.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $114.19 / $183.07	Professional		$70.73	$114.19	$183.07
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 $100.69 / $127.54 / $204.17	Professional		$100.69	$127.54	$204.17