Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $73.68 / $8,229.00	Facility		$40.35	$73.68	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $68.06 / $106.04	Professional		$40.35	$68.06	$106.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.18 / $29.65 / $35.57	Professional	52	$20.18	$29.65	$35.57
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $8.07 / $11.86 / $14.23	Professional	53	$8.07	$11.86	$14.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $79.70 / $100.47	Professional		$78.56	$79.70	$100.47
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 $42.66 / $64.56 / $97.40	Professional		$42.66	$64.56	$97.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.82 / $60.00 / $69.22	Facility		$43.82	$60.00	$69.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.29 / $62.75 / $96.44	Professional		$49.29	$62.75	$96.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.86 / $78.86 / $83.58	Facility		$78.86	$78.86	$83.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $83.94 / $154.97	Professional		$52.29	$83.94	$154.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $95.42 / $132.11	Professional		$65.79	$95.42	$132.11