Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.39 / $2,513.94 / $5,831.72	Facility		$366.39	$2,513.94	$5,831.72
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $86.28 / $183.20 / $211.16	Facility	52	$86.28	$183.20	$211.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.06 / $265.07 / $418.72	Professional		$169.06	$265.07	$418.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.89 / $108.14 / $237.68	Professional		$95.89	$108.14	$237.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,266.00 / $5,570.00 / $13,810.27	Facility		$2,266.00	$5,570.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.25 / $351.13 / $498.60	Professional		$259.25	$351.13	$498.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.44 / $205.99 / $245.60	Facility		$158.44	$205.99	$245.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $332.32 / $381.34 / $482.01	Professional		$332.32	$381.34	$482.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,158.09 / $2,158.09 / $2,158.09	Facility		$2,158.09	$2,158.09	$2,158.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.46 / $376.31 / $756.54	Professional		$203.46	$376.31	$756.54
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 $336.13 / $445.47 / $678.34	Professional		$336.13	$445.47	$678.34