Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.70 / $862.55 / $6,542.94	Facility		$225.70	$862.55	$6,542.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $106.85 / $181.87 / $504.47	Facility	52	$106.85	$181.87	$504.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.16 / $598.37 / $1,008.94	Professional		$217.16	$598.37	$1,008.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.25 / $221.58 / $302.07	Professional		$183.25	$221.58	$302.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.51 / $466.72 / $812.78	Professional		$188.51	$466.72	$812.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $209.28 / $287.25 / $331.36	Facility		$209.28	$287.25	$331.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.72 / $295.83 / $925.06	Professional		$226.72	$295.83	$925.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.53 / $377.53 / $377.53	Facility		$377.53	$377.53	$377.53
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 $244.23 / $652.52 / $1,233.20	Professional		$244.23	$652.52	$1,233.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $677.85	Professional		$32.34	$32.34	$677.85
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 $638.95 / $939.52 / $1,337.21	Professional		$638.95	$939.52	$1,337.21