Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.37 / $3,811.74 / $6,846.59	Facility		$180.37	$3,811.74	$6,846.59
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $30.06 / $73.58 / $190.70	Facility	53	$30.06	$73.58	$190.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.47 / $293.14 / $970.21	Professional		$140.47	$293.14	$970.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.76 / $124.76 / $155.94	Professional		$124.76	$124.76	$155.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $5,757.57 / $8,388.00	Facility		$1,153.00	$5,757.57	$8,388.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.59 / $376.99 / $1,158.09	Professional		$124.59	$376.99	$1,158.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.09 / $178.22 / $212.49	Facility		$137.09	$178.22	$212.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $734.46 / $878.76 / $1,035.58	Professional		$734.46	$878.76	$1,035.58
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 $161.24 / $535.96 / $1,390.45	Professional		$161.24	$535.96	$1,390.45
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 $905.81 / $1,172.81 / $1,841.26	Professional		$905.81	$1,172.81	$1,841.26