Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $373.70 / $4,846.00	Facility		$33.29	$373.70	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $71.01 / $112.87	Professional		$28.10	$71.01	$112.87
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.05 / $35.51 / $41.96	Professional	52	$14.05	$35.51	$41.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $34.51 / $64.81	Professional		$34.51	$34.51	$64.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $60.04 / $198.36	Professional		$24.99	$60.04	$198.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $35.19 / $41.96	Facility		$27.07	$35.19	$41.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $78.45 / $98.98	Professional		$68.22	$78.45	$98.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $69.34 / $69.34	Facility		$69.34	$69.34	$69.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $86.60 / $179.86	Professional		$38.82	$86.60	$179.86
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.64 / $99.12 / $150.78	Professional		$70.64	$99.12	$150.78