Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $128.88 / $3,740.00	Facility		$72.81	$128.88	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $107.28 / $149.18	Professional		$71.45	$107.28	$149.18
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $33.72 / $46.25 / $66.89	Professional	52	$33.72	$46.25	$66.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.59 / $99.59 / $99.59	Professional		$99.59	$99.59	$99.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $70.90 / $130.80	Professional		$43.89	$70.90	$130.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $103.02 / $115.43	Facility		$76.31	$103.02	$115.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $128.88 / $187.46	Professional		$95.39	$128.88	$187.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.81 / $140.41 / $140.41	Facility		$69.81	$140.41	$140.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.36 / $113.85 / $197.00	Professional		$72.36	$113.85	$197.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.31	Professional		$32.34	$32.34	$152.31
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.02 / $127.80 / $203.04	Professional		$97.02	$127.80	$203.04