Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $374.05 / $1,544.00	Facility		$66.34	$374.05	$1,544.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $20.50 / $52.69 / $112.92	Facility	52	$20.50	$52.69	$112.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $166.74 / $261.43	Professional		$41.65	$166.74	$261.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $55.95 / $55.95	Professional		$37.29	$55.95	$55.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.62 / $72.62 / $140.16	Facility		$72.62	$72.62	$140.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $156.97 / $466.85	Professional		$47.35	$156.97	$466.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $51.04 / $58.89	Facility		$34.47	$51.04	$58.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.61 / $220.33 / $275.42	Professional		$183.61	$220.33	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $73.43	Facility		$73.43	$73.43	$73.43
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $58.74 / $58.74 / $58.74	Facility	52	$58.74	$58.74	$58.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $153.86 / $366.66	Professional		$47.28	$153.86	$366.66
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.06 / $228.89 / $419.30	Professional		$180.06	$228.89	$419.30