Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.19 / $1,036.74 / $7,212.00	Facility		$195.19	$1,036.74	$7,212.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.60 / $218.12 / $326.60	Facility	52	$97.60	$218.12	$326.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.23 / $304.02 / $775.04	Professional		$193.23	$304.02	$775.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.94 / $187.45 / $269.85	Professional		$162.94	$187.45	$269.85
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 $280.23 / $490.40 / $777.90	Professional		$280.23	$490.40	$777.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.50 / $233.87 / $328.35	Facility		$183.50	$233.87	$328.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $544.34 / $653.21 / $816.51	Professional		$544.34	$653.21	$816.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.48 / $538.00 / $1,158.10	Facility		$336.48	$538.00	$1,158.10
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.18 / $269.18 / $269.18	Facility	52	$269.18	$269.18	$269.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.23 / $430.70 / $923.33	Professional		$221.23	$430.70	$923.33
United Facility/Professional Facility Modifier Low / Median / High Price $732.17 / $3,741.00 / $5,490.00	Facility		$732.17	$3,741.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $287.64 / $607.05 / $1,144.23	Professional		$287.64	$607.05	$1,144.23