Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $1,386.00 / $7,954.00	Facility		$52.04	$1,386.00	$7,954.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.81 / $10.41 / $13.47	Facility	53	$9.81	$10.41	$13.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $52.05 / $144.16	Professional		$43.60	$52.05	$144.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $59.79 / $63.78	Professional		$41.91	$59.79	$63.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $154.79 / $10,030.00	Facility		$80.20	$154.79	$10,030.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.05 / $80.20 / $110.67	Professional		$51.05	$80.20	$110.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $51.82 / $59.79	Facility		$39.86	$51.82	$59.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $45.74 / $57.34	Professional		$39.86	$45.74	$57.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $74.02 / $168.80	Professional		$51.46	$74.02	$168.80
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $5,520.00	Facility		$933.00	$2,252.00	$5,520.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $60.54 / $95.69	Professional		$43.70	$60.54	$95.69