Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $840.75 / $4,846.00	Facility		$69.70	$840.75	$4,846.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $28.85 / $61.58 / $79.36	Facility	52	$28.85	$61.58	$79.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.70 / $122.97 / $209.88	Professional		$57.70	$122.97	$209.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $85.02 / $165.43	Professional		$79.34	$85.02	$165.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $3,677.00 / $5,445.00	Facility		$1,399.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.61 / $159.00 / $219.42	Professional		$63.61	$159.00	$219.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.68 / $70.84 / $85.02	Facility		$56.68	$70.84	$85.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.75 / $155.69 / $186.81	Professional		$129.75	$155.69	$186.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.21 / $498.21 / $590.58	Facility		$498.21	$498.21	$590.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $136.19 / $257.25	Professional		$70.50	$136.19	$257.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.79 / $160.13 / $265.95	Professional		$119.79	$160.13	$265.95