Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.65 / $3,149.72 / $7,066.93	Facility		$370.65	$3,149.72	$7,066.93
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $67.34 / $164.81 / $328.03	Facility	52	$67.34	$164.81	$328.03
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $26.93 / $65.93 / $131.21	Facility	53	$26.93	$65.93	$131.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.92 / $212.80 / $522.44	Professional		$94.92	$212.80	$522.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $155.26 / $203.45	Professional		$62.11	$155.26	$203.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,627.00 / $4,398.00 / $6,834.00	Facility		$1,627.00	$4,398.00	$6,834.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.60 / $311.45 / $505.67	Professional		$174.60	$311.45	$505.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.21 / $161.47 / $192.53	Facility		$124.21	$161.47	$192.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.18 / $397.42 / $496.77	Professional		$331.18	$397.42	$496.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.63 / $4,825.99 / $4,826.00	Facility		$674.63	$4,825.99	$4,826.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $185.70 / $185.70 / $185.70	Facility	52	$185.70	$185.70	$185.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.42 / $46.42 / $46.42	Facility	53	$46.42	$46.42	$46.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $343.55 / $608.92	Professional		$160.47	$343.55	$608.92
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 $306.89 / $384.48 / $651.09	Professional		$306.89	$384.48	$651.09