Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.45 / $2,319.94 / $13,055.00	Facility		$97.45	$2,319.94	$13,055.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $46.48 / $100.99 / $123.95	Facility	52	$46.48	$100.99	$123.95
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.59 / $40.40 / $49.58	Facility	53	$18.59	$40.40	$49.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $139.10 / $341.13	Professional		$81.91	$139.10	$341.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $89.60 / $120.91	Professional		$52.71	$89.60	$120.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,840.00 / $8,240.00	Facility		$1,682.00	$3,840.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $186.81 / $472.71	Professional		$70.00	$186.81	$472.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.56 / $98.24 / $118.92	Facility		$75.56	$98.24	$118.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.81 / $214.36 / $263.39	Professional		$186.81	$214.36	$263.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,129.11 / $2,129.11 / $2,129.11	Facility		$2,129.11	$2,129.11	$2,129.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.56 / $247.03 / $451.88	Professional		$107.56	$247.03	$451.88
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 $201.49 / $292.55 / $430.64	Professional		$201.49	$292.55	$430.64