Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.13 / $439.74 / $5,320.00	Facility		$133.13	$439.74	$5,320.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $62.38 / $114.74 / $141.53	Facility	52	$62.38	$114.74	$141.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.76 / $229.48 / $361.43	Professional		$124.76	$229.48	$361.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $154.16 / $167.03	Professional		$154.16	$154.16	$167.03
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 $105.40 / $214.71 / $329.85	Professional		$105.40	$214.71	$329.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.04 / $169.46 / $199.72	Facility		$121.04	$169.46	$199.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.35 / $257.29 / $319.45	Professional		$157.35	$257.29	$319.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.42 / $222.71 / $222.71	Facility		$183.42	$222.71	$222.71
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $178.17 / $178.17 / $178.17	Facility	52	$178.17	$178.17	$178.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.31 / $273.24 / $580.13	Professional		$153.31	$273.24	$580.13
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.83 / $381.11 / $452.09	Professional		$247.83	$381.11	$452.09