Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.28 / $746.64 / $4,846.00	Facility		$72.28	$746.64	$4,846.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $31.71 / $77.59 / $106.96	Facility	52	$31.71	$77.59	$106.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.41 / $185.02 / $348.00	Professional		$63.41	$185.02	$348.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $31.71 / $89.13 / $125.93	Professional	52	$31.71	$89.13	$125.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $63.18 / $144.68	Professional		$63.18	$63.18	$144.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $111.06 / $295.14	Professional		$61.70	$111.06	$295.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $75.48 / $90.01	Facility		$58.07	$75.48	$90.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.21 / $195.74 / $241.67	Professional		$170.21	$195.74	$241.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.97 / $139.97 / $139.97	Facility		$139.97	$139.97	$139.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.91 / $179.75 / $386.69	Professional		$76.91	$179.75	$386.69
United Facility/Professional Facility Modifier Low / Median / High Price $162.69 / $2,049.00 / $4,395.00	Facility		$162.69	$2,049.00	$4,395.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.55 / $211.61 / $372.35	Professional		$167.55	$211.61	$372.35