Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,754.23 / $5,370.32	Facility		$181.97	$2,754.23	$5,370.32
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility	52	$1,445.44	$1,445.44	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $234.42 / $616.60	Professional		$112.20	$234.42	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $128.82 / $199.53	Professional		$67.61	$128.82	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,073.80 / $8,317.64	Facility		$2,089.30	$4,073.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $281.84 / $467.74	Professional		$138.04	$281.84	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $144.54 / $177.83	Facility		$114.82	$144.54	$177.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $398.11	Professional		$263.03	$316.23	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $467.74 / $3,981.07	Facility		$177.83	$467.74	$3,981.07
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	22	$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	52	$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.69 / $41.69 / $41.69	Facility	53	$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $269.15 / $512.86	Professional		$134.90	$269.15	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,715.35 / $6,456.54	Facility		$794.33	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $239.88 / $407.38	Professional		$117.49	$239.88	$407.38