Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.88 / $2,318.00 / $7,911.44	Facility		$188.88	$2,318.00	$7,911.44
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $85.17 / $208.47 / $309.17	Facility	52	$85.17	$208.47	$309.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.25 / $254.47 / $736.23	Professional		$168.25	$254.47	$736.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.24 / $157.40 / $243.97	Professional		$143.24	$157.40	$243.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,117.00 / $8,240.00	Facility		$2,234.00	$5,117.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.04 / $393.65 / $736.88	Professional		$186.04	$393.65	$736.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.40 / $204.62 / $724.33	Facility		$157.40	$204.62	$724.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $515.28 / $618.34 / $772.92	Professional		$515.28	$618.34	$772.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.07 / $538.00 / $1,158.10	Facility		$297.07	$538.00	$1,158.10
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $237.66 / $237.66 / $237.66	Facility	52	$237.66	$237.66	$237.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.23 / $363.57 / $926.80	Professional		$189.23	$363.57	$926.80
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,817.00 / $5,402.00	Facility		$900.00	$3,817.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.62 / $554.19 / $1,025.25	Professional		$188.62	$554.19	$1,025.25