Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.52 / $701.68 / $8,229.00	Facility		$167.52	$701.68	$8,229.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $83.76 / $112.67 / $276.02	Facility	52	$83.76	$112.67	$276.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.52 / $269.35 / $741.68	Professional		$167.52	$269.35	$741.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $191.96 / $226.03	Professional		$87.71	$191.96	$226.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $2,542.00 / $4,650.00	Facility		$1,421.00	$2,542.00	$4,650.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $213.33 / $688.38	Professional		$158.13	$213.33	$688.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.68 / $226.03 / $260.74	Facility		$164.68	$226.03	$260.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.69 / $234.10 / $751.16	Professional		$176.69	$234.10	$751.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.07 / $297.07 / $297.07	Facility		$297.07	$297.07	$297.07
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 $182.93 / $329.00 / $929.27	Professional		$182.93	$329.00	$929.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $552.04	Professional		$32.34	$32.34	$552.04
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.10 / $542.85 / $1,139.44	Professional		$226.10	$542.85	$1,139.44