Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,905.46 / $5,248.07	Facility		$416.87	$1,905.46	$5,248.07
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	52	$2,187.76	$2,187.76	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $239.88 / $776.25	Professional		$66.07	$239.88	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $251.19	Professional		$77.62	$134.90	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,511.89 / $5,623.41	Facility		$1,479.11	$2,511.89	$5,623.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $389.05 / $588.84	Professional		$162.18	$389.05	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $162.18 / $208.93	Facility		$125.89	$162.18	$208.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $389.05 / $512.86	Professional		$177.83	$389.05	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $1,659.59	Facility		$234.42	$234.42	$1,659.59
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	22	$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $186.21 / $186.21 / $186.21	Facility	52	$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	53	$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $380.19 / $1,737.80	Professional		$154.88	$380.19	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,348.96 / $5,248.07	Facility		$524.81	$1,348.96	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $302.00 / $537.03	Professional		$138.04	$302.00	$537.03