Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.80 / $2,642.51 / $7,705.28	Facility		$250.80	$2,642.51	$7,705.28
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $65.59 / $125.40 / $163.13	Facility	52	$65.59	$125.40	$163.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $190.74 / $311.98	Professional		$80.00	$190.74	$311.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $90.56 / $181.13	Professional		$73.06	$90.56	$181.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,126.00 / $8,240.00	Facility		$2,234.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.06 / $273.63 / $388.55	Professional		$213.06	$273.63	$388.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.75 / $156.97 / $187.16	Facility		$120.75	$156.97	$187.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $231.39 / $265.52 / $331.61	Professional		$231.39	$265.52	$331.61
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 $156.32 / $275.64 / $540.00	Professional		$156.32	$275.64	$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 $239.64 / $341.10 / $512.79	Professional		$239.64	$341.10	$512.79