Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.61 / $511.25 / $5,634.00	Facility		$114.61	$511.25	$5,634.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $57.31 / $140.26 / $255.62	Facility	52	$57.31	$140.26	$255.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.61 / $181.56 / $637.11	Professional		$114.61	$181.56	$637.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.61 / $158.61 / $161.15	Professional		$158.61	$158.61	$161.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,036.00	Facility		$1,636.00	$3,840.00	$7,036.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.02 / $327.23 / $611.87	Professional		$162.02	$327.23	$611.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.74 / $137.46 / $600.57	Facility		$105.74	$137.46	$600.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.04 / $511.25 / $639.05	Professional		$426.04	$511.25	$639.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.32 / $402.00 / $848.27	Facility		$197.32	$402.00	$848.27
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.86 / $157.86 / $157.86	Facility	52	$157.86	$157.86	$157.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.21 / $248.05 / $678.37	Professional		$130.21	$248.05	$678.37
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 $162.49 / $471.91 / $917.69	Professional		$162.49	$471.91	$917.69