Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.95 / $3,149.97 / $7,212.00	Facility		$257.95	$3,149.97	$7,212.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $108.02 / $264.39 / $615.15	Facility	52	$108.02	$264.39	$615.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.69 / $528.78 / $1,404.36	Professional		$213.69	$528.78	$1,404.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $252.80 / $270.86 / $297.64	Professional		$252.80	$270.86	$297.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $9,200.00 / $18,942.00	Facility		$1,614.00	$9,200.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.20 / $720.82 / $2,257.35	Professional		$370.20	$720.82	$2,257.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $257.95 / $1,519.34	Facility		$202.40	$257.95	$1,519.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,070.17 / $1,228.02 / $1,605.26	Professional		$1,070.17	$1,228.02	$1,605.26
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 $254.28 / $610.84 / $1,673.34	Professional		$254.28	$610.84	$1,673.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $857.60 / $1,128.16 / $1,860.60	Professional		$857.60	$1,128.16	$1,860.60