Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.43 / $3,473.16 / $7,212.00	Facility		$200.43	$3,473.16	$7,212.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $64.16 / $121.53 / $162.62	Facility	52	$64.16	$121.53	$162.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.31 / $229.48 / $409.90	Professional		$128.31	$229.48	$409.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.25 / $148.25 / $177.90	Professional		$148.25	$148.25	$177.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,840.00 / $7,747.00	Facility		$1,682.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.05 / $276.32 / $392.37	Professional		$221.05	$276.32	$392.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.60 / $154.18 / $183.83	Facility		$118.60	$154.18	$183.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.56 / $259.98 / $322.98	Professional		$226.56	$259.98	$322.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,061.59 / $1,061.59 / $1,061.59	Facility		$1,061.59	$1,061.59	$1,061.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.31 / $281.66 / $540.00	Professional		$153.31	$281.66	$540.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.74 / $335.69 / $487.59	Professional		$229.74	$335.69	$487.59