Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.53 / $1,386.00 / $7,954.00	Facility		$218.53	$1,386.00	$7,954.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $109.27 / $267.43 / $380.11	Facility	52	$109.27	$267.43	$380.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.16 / $629.45 / $994.53	Professional		$217.16	$629.45	$994.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.25 / $251.73 / $302.07	Professional		$183.25	$251.73	$302.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $5,757.57 / $8,388.00	Facility		$800.00	$5,757.57	$8,388.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.75 / $466.72 / $782.94	Professional		$188.75	$466.72	$782.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.38 / $261.79 / $892.03	Facility		$201.38	$261.79	$892.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $633.52 / $708.66 / $950.28	Professional		$633.52	$708.66	$950.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.53 / $761.00 / $1,537.50	Facility		$377.53	$761.00	$1,537.50
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $302.02 / $302.02 / $302.02	Facility	52	$302.02	$302.02	$302.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.73 / $464.88 / $1,141.89	Professional		$247.73	$464.88	$1,141.89
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 $609.57 / $818.29 / $1,353.08	Professional		$609.57	$818.29	$1,353.08