Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $359.52 / $4,846.00	Facility		$39.79	$359.52	$4,846.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $17.93 / $43.87 / $117.43	Facility	52	$17.93	$43.87	$117.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $182.81 / $278.72	Professional		$35.07	$182.81	$278.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $244.64 / $303.35	Professional		$46.48	$244.64	$303.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $4,119.97 / $8,230.00	Facility		$600.00	$4,119.97	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $121.87 / $252.31	Professional		$30.06	$121.87	$252.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.83 / $43.12 / $275.39	Facility		$33.83	$43.12	$275.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.71 / $234.85 / $293.57	Professional		$195.71	$234.85	$293.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $175.16 / $761.00	Facility		$64.27	$175.16	$761.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.42 / $51.42 / $51.42	Facility	52	$51.42	$51.42	$51.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $214.43 / $352.31	Professional		$41.57	$214.43	$352.31
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $2,252.00 / $4,426.00	Facility		$550.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.04 / $254.58 / $412.84	Professional		$199.04	$254.58	$412.84