Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.62 / $4,846.00 / $19,148.00	Facility		$272.62	$4,846.00	$19,148.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $129.88 / $282.51 / $697.88	Facility	52	$129.88	$282.51	$697.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $353.12 / $1,395.76	Professional		$207.00	$353.12	$1,395.76
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $129.88 / $522.00 / $697.88	Professional	52	$129.88	$522.00	$697.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $337.94 / $337.94 / $337.94	Professional		$337.94	$337.94	$337.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,521.00 / $14,796.00 / $37,128.00	Facility		$1,521.00	$14,796.00	$37,128.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.28 / $771.28 / $1,486.79	Professional		$190.28	$771.28	$1,486.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $215.43 / $274.57 / $1,450.83	Facility		$215.43	$274.57	$1,450.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,079.80 / $1,234.06 / $1,542.57	Professional		$1,079.80	$1,234.06	$1,542.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,524.14 / $3,524.14 / $3,524.14	Facility		$3,524.14	$3,524.14	$3,524.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.95 / $1,057.86 / $1,894.97	Professional		$247.95	$1,057.86	$1,894.97
United Facility/Professional Facility Modifier Low / Median / High Price $5,431.00 / $12,296.00 / $17,380.00	Facility		$5,431.00	$12,296.00	$17,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,143.18 / $1,534.78 / $2,371.01	Professional		$1,143.18	$1,534.78	$2,371.01