Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.30 / $2,838.24 / $5,667.01	Facility		$283.30	$2,838.24	$5,667.01
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $59.64 / $141.65 / $216.45	Facility	52	$59.64	$141.65	$216.45
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $23.86 / $56.66 / $61.48	Facility	53	$23.86	$56.66	$61.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.05 / $201.07 / $374.47	Professional		$113.05	$201.07	$374.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $124.97 / $165.47	Professional		$68.94	$124.97	$165.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,627.00 / $3,713.00 / $5,445.00	Facility		$1,627.00	$3,713.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.07 / $256.14 / $455.63	Professional		$131.07	$256.14	$455.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.31 / $143.40 / $170.98	Facility		$110.31	$143.40	$170.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $307.38 / $384.23	Professional		$256.14	$307.38	$384.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.63 / $4,006.88 / $4,007.00	Facility		$674.63	$4,006.88	$4,007.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $165.11 / $165.11 / $165.11	Facility	52	$165.11	$165.11	$165.11
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.28 / $41.28 / $41.28	Facility	53	$41.28	$41.28	$41.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.93 / $287.52 / $505.10	Professional		$141.93	$287.52	$505.10
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 $241.98 / $318.61 / $522.29	Professional		$241.98	$318.61	$522.29