Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.28 / $1,135.04 / $6,876.35	Facility		$222.28	$1,135.04	$6,876.35
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $104.69 / $147.93 / $567.52	Facility	52	$104.69	$147.93	$567.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.37 / $398.08 / $1,402.80	Professional		$209.37	$398.08	$1,402.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $252.59 / $278.86 / $282.89	Professional		$252.59	$278.86	$282.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,080.00 / $6,598.00 / $11,253.00	Facility		$5,080.00	$6,598.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.42 / $699.83 / $1,031.05	Professional		$212.42	$699.83	$1,031.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $231.88 / $282.89 / $326.33	Facility		$231.88	$282.89	$326.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $232.38 / $293.00 / $1,588.14	Professional		$232.38	$293.00	$1,588.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.81 / $371.81 / $371.81	Facility		$371.81	$371.81	$371.81
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $297.45 / $297.45 / $297.45	Facility	52	$297.45	$297.45	$297.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.07 / $942.14 / $1,773.23	Professional		$254.07	$942.14	$1,773.23
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $846.29 / $1,240.68 / $1,991.05	Professional		$846.29	$1,240.68	$1,991.05