Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.08 / $2,274.71 / $4,846.00	Facility		$298.08	$2,274.71	$4,846.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $54.07 / $132.34 / $155.85	Facility	52	$54.07	$132.34	$155.85
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.63 / $52.94 / $62.34	Facility	53	$21.63	$52.94	$62.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.63 / $209.07 / $580.87	Professional		$97.63	$209.07	$580.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.23 / $112.03 / $134.44	Professional		$95.23	$112.03	$134.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.62 / $262.39 / $1,056.11	Professional		$116.62	$262.39	$1,056.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.49 / $132.96 / $221.61	Facility		$98.49	$132.96	$221.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $276.83 / $332.21 / $415.26	Professional		$276.83	$332.21	$415.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.35 / $445.35 / $445.35	Facility		$445.35	$445.35	$445.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.61 / $282.51 / $925.76	Professional		$116.61	$282.51	$925.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.77 / $530.11 / $819.07	Professional		$284.77	$530.11	$819.07