Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.19 / $970.06 / $7,212.00	Facility		$147.19	$970.06	$7,212.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $73.59 / $180.14 / $327.90	Facility	52	$73.59	$180.14	$327.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.65 / $284.58 / $908.04	Professional		$138.65	$284.58	$908.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $152.88 / $152.88	Professional		$152.88	$152.88	$152.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.76 / $440.39 / $1,578.50	Professional		$167.76	$440.39	$1,578.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.80 / $205.64 / $803.60	Facility		$142.80	$205.64	$803.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $602.70 / $746.20 / $1,033.20	Professional		$602.70	$746.20	$1,033.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $847.52 / $847.52 / $847.52	Facility		$847.52	$847.52	$847.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.30 / $500.19 / $1,401.80	Professional		$158.30	$500.19	$1,401.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.21 / $890.08 / $1,385.99	Professional		$534.21	$890.08	$1,385.99