Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.44 / $5,876.47 / $7,229.99	Facility		$421.44	$5,876.47	$7,229.99
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $27.36 / $79.00 / $127.81	Facility	53	$27.36	$79.00	$127.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.79 / $355.00 / $905.00	Professional		$136.79	$355.00	$905.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.65 / $187.77 / $398.46	Professional		$167.65	$187.77	$398.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.00 / $5,230.00 / $8,240.00	Facility		$1,042.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.48 / $417.40 / $1,075.26	Professional		$187.48	$417.40	$1,075.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.38 / $198.98 / $331.64	Facility		$147.38	$198.98	$331.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $437.87 / $525.44 / $656.81	Professional		$437.87	$525.44	$656.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.22 / $949.22 / $949.22	Facility		$949.22	$949.22	$949.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.19 / $574.38 / $1,051.95	Professional		$198.19	$574.38	$1,051.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $558.08 / $735.97 / $1,195.00	Professional		$558.08	$735.97	$1,195.00