Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.82 / $787.00 / $7,696.28	Facility		$352.82	$787.00	$7,696.28
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $176.41 / $214.53 / $318.58	Facility	52	$176.41	$214.53	$318.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.62 / $410.03 / $668.31	Professional		$367.62	$410.03	$668.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $246.64 / $246.64 / $365.38	Professional		$246.64	$246.64	$365.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.11 / $351.70 / $617.78	Professional		$272.11	$351.70	$617.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $546.07 / $629.92	Facility		$382.03	$546.07	$629.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $390.05 / $546.07 / $780.10	Professional		$390.05	$546.07	$780.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.35 / $480.35 / $627.40	Facility		$480.35	$480.35	$627.40
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $379.98 / $379.98 / $379.98	Facility	52	$379.98	$379.98	$379.98
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.50 / $47.50 / $47.50	Facility	AS	$47.50	$47.50	$47.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.36 / $605.99 / $899.49	Professional		$437.36	$605.99	$899.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $507.07	Professional		$32.34	$32.34	$507.07
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.82 / $539.84 / $866.07	Professional		$401.82	$539.84	$866.07