Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.42 / $274.20 / $3,740.00	Facility		$38.42	$274.20	$3,740.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $17.91 / $25.36 / $137.11	Facility	52	$17.91	$25.36	$137.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $182.81 / $274.95	Professional		$35.07	$182.81	$274.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $37.11 / $38.19	Professional		$18.66	$37.11	$38.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $121.87 / $209.04	Professional		$27.89	$121.87	$209.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.63 / $48.90 / $56.41	Facility		$35.63	$48.90	$56.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.93 / $50.65 / $285.60	Professional		$34.93	$50.65	$285.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $64.27 / $64.27	Facility		$64.27	$64.27	$64.27
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 $39.94 / $200.58 / $381.74	Professional		$39.94	$200.58	$381.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $208.49	Professional		$32.34	$32.34	$208.49
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $263.26 / $3,176.00	Facility		$59.00	$263.26	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $201.70 / $290.07 / $406.87	Professional		$201.70	$290.07	$406.87