Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.22 / $3,665.23 / $7,212.00	Facility		$394.22	$3,665.23	$7,212.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $197.11 / $197.11 / $325.00	Facility	52	$197.11	$197.11	$325.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.55 / $408.47 / $670.38	Professional		$374.55	$408.47	$670.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $365.38 / $384.50 / $480.76	Professional		$365.38	$384.50	$480.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,570.00 / $13,758.00	Facility		$2,234.00	$5,570.00	$13,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.94 / $483.91 / $687.15	Professional		$298.94	$483.91	$687.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $384.61 / $499.99 / $576.91	Facility		$384.61	$499.99	$576.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $384.61 / $448.56 / $576.91	Professional		$384.61	$448.56	$576.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.34 / $2,116.34 / $2,508.71	Facility		$2,116.34	$2,116.34	$2,508.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.54 / $562.14 / $886.74	Professional		$413.54	$562.14	$886.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.14 / $482.38 / $858.48	Professional		$357.14	$482.38	$858.48