Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.29 / $257.75 / $5,634.00	Facility		$100.29	$257.75	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.54 / $114.73 / $167.95	Professional		$86.54	$114.73	$167.95
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $134.50 / $134.50 / $134.50	Professional	52	$134.50	$134.50	$134.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.57 / $174.57 / $174.57	Professional		$174.57	$174.57	$174.57
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 $76.45 / $95.58 / $131.90	Professional		$76.45	$95.58	$131.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.38 / $129.19 / $159.26	Facility		$99.38	$129.19	$159.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $139.66 / $174.57	Professional		$116.38	$139.66	$174.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.84 / $111.84 / $132.57	Facility		$111.84	$111.84	$132.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.41 / $135.88 / $209.35	Professional		$104.41	$135.88	$209.35
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 $94.47 / $129.80 / $221.66	Professional		$94.47	$129.80	$221.66