Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $513.44 / $5,320.00	Facility		$61.81	$513.44	$5,320.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $30.91 / $67.72 / $91.29	Facility	52	$30.91	$67.72	$91.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $163.41 / $273.01	Professional		$61.81	$163.41	$273.01
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.91 / $67.72 / $89.13	Professional	52	$30.91	$67.72	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.31 / $59.31 / $59.31	Professional		$59.31	$59.31	$59.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $118.20 / $241.22	Professional		$61.36	$118.20	$241.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.31 / $83.03 / $97.86	Facility		$59.31	$83.03	$97.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $190.88 / $240.00	Professional		$77.09	$190.88	$240.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.13 / $109.13 / $136.79	Facility		$109.13	$109.13	$136.79
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $87.30 / $87.30 / $87.30	Facility	52	$87.30	$87.30	$87.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $175.53 / $309.94	Professional		$75.79	$175.53	$309.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.46 / $223.48 / $351.67	Professional		$154.46	$223.48	$351.67