Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.16 / $582.48 / $6,104.62	Facility		$201.16	$582.48	$6,104.62
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $95.41 / $154.28 / $291.24	Facility	52	$95.41	$154.28	$291.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.23 / $363.54 / $869.77	Professional		$193.23	$363.54	$869.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.85 / $237.73 / $252.37	Professional		$169.85	$237.73	$252.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $2,565.00 / $4,650.00	Facility		$1,421.00	$2,565.00	$4,650.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.64 / $288.64 / $734.12	Professional		$236.64	$288.64	$734.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.53 / $256.02 / $301.74	Facility		$186.53	$256.02	$301.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $201.16 / $265.16 / $794.05	Professional		$201.16	$265.16	$794.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.48 / $336.48 / $336.48	Facility		$336.48	$336.48	$336.48
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 $213.77 / $403.62 / $1,006.38	Professional		$213.77	$403.62	$1,006.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $582.48	Professional		$32.34	$32.34	$582.48
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,339.00 / $5,301.00	Facility		$523.00	$1,339.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.95 / $573.33 / $1,191.28	Professional		$333.95	$573.33	$1,191.28