Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.04 / $279.52 / $5,634.00	Facility		$85.04	$279.52	$5,634.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $42.52 / $104.07 / $139.76	Facility	52	$42.52	$104.07	$139.76
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.01 / $51.82 / $78.73	Facility	53	$17.01	$51.82	$78.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $192.56 / $326.62	Professional		$85.04	$192.56	$326.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $78.26 / $78.26	Professional		$78.26	$78.26	$78.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,635.00 / $5,445.00	Facility		$1,636.00	$3,635.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $187.90 / $325.64	Professional		$103.90	$187.90	$325.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.75 / $102.38 / $322.62	Facility		$78.75	$102.38	$322.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $232.94 / $279.52 / $349.41	Professional		$232.94	$279.52	$349.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $402.00 / $674.63	Facility		$147.60	$402.00	$674.63
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $118.08 / $118.08 / $118.08	Facility	52	$118.08	$118.08	$118.08
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.52 / $29.52 / $29.52	Facility	53	$29.52	$29.52	$29.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.27 / $225.53 / $434.88	Professional		$102.27	$225.53	$434.88
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,817.00 / $5,402.00	Facility		$900.00	$3,817.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.93 / $257.68 / $435.63	Professional		$198.93	$257.68	$435.63