Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.10 / $2,145.69 / $8,229.00	Facility		$463.10	$2,145.69	$8,229.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $64.27 / $88.21 / $307.89	Facility	53	$64.27	$88.21	$307.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.83 / $815.94 / $1,750.67	Professional		$340.83	$815.94	$1,750.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $303.25 / $394.23 / $424.55	Professional		$303.25	$394.23	$424.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.35 / $843.10 / $1,429.19	Professional		$311.35	$843.10	$1,429.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.31 / $424.55 / $500.99	Facility		$309.31	$424.55	$500.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $379.06 / $914.42 / $1,216.21	Professional		$379.06	$914.42	$1,216.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.98 / $557.98 / $557.98	Facility		$557.98	$557.98	$557.98
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $111.60 / $111.60 / $111.60	Facility	53	$111.60	$111.60	$111.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $55.80 / $55.80 / $55.80	Facility	AS	$55.80	$55.80	$55.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.58 / $1,194.52 / $2,303.69	Professional		$372.58	$1,194.52	$2,303.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $4,298.00 / $11,156.00	Facility		$739.00	$4,298.00	$11,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,027.36 / $1,652.90 / $2,078.28	Professional		$1,027.36	$1,652.90	$2,078.28