Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $309.03 / $4,897.79	Facility		$102.33	$309.03	$4,897.79
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	53	$3,311.31	$3,311.31	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $218.78 / $467.74	Professional		$85.11	$218.78	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $48.98	Professional		$38.90	$38.90	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,265.80 / $8,317.64	Facility		$1,995.26	$4,265.80	$8,317.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $363.08	Professional		$102.33	$199.53	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $87.10 / $97.72	Facility		$83.18	$87.10	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $275.42 / $512.86	Facility		$107.15	$275.42	$512.86
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	52	$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.51 / $29.51 / $29.51	Facility	53	$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $213.80 / $436.52	Professional		$97.72	$213.80	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,715.35 / $6,456.54	Facility		$794.33	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $190.55 / $331.13	Professional		$83.18	$190.55	$331.13