Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $173.78 / $5,623.41	Facility		$120.23	$173.78	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $257.04	Professional		$93.33	$120.23	$257.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $102.33 / $134.90 / $309.03	Professional	52	$102.33	$134.90	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $154.88	Professional		$81.28	$95.50	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $109.65 / $123.03	Facility		$100.00	$109.65	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $151.36 / $194.98	Facility		$114.82	$151.36	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $194.98	Professional		$104.71	$134.90	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,137.96 / $5,754.40	Facility		$245.47	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $194.98	Professional		$91.20	$120.23	$194.98