Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.62 / $1,303.88 / $5,320.00	Facility		$176.62	$1,303.88	$5,320.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $83.36 / $158.72 / $179.27	Facility	52	$83.36	$158.72	$179.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.72 / $318.88 / $518.07	Professional		$166.72	$318.88	$518.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.35 / $100.35 / $110.78	Professional		$100.35	$100.35	$110.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,565.00 / $5,830.00	Facility		$1,258.00	$2,565.00	$5,830.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.26 / $259.25 / $462.62	Professional		$149.26	$259.25	$462.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.56 / $224.78 / $264.92	Facility		$160.56	$224.78	$264.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.73 / $361.26 / $472.61	Professional		$208.73	$361.26	$472.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.19 / $295.43 / $295.43	Facility		$241.19	$295.43	$295.43
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $236.34 / $236.34 / $236.34	Facility	52	$236.34	$236.34	$236.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.03 / $362.74 / $721.62	Professional		$201.03	$362.74	$721.62
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 $349.06 / $526.25 / $645.57	Professional		$349.06	$526.25	$645.57