Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.19 / $2,747.00 / $7,039.40	Facility		$349.19	$2,747.00	$7,039.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $65.84 / $174.60 / $223.00	Facility	52	$65.84	$174.60	$223.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $26.33 / $69.84 / $82.70	Facility	53	$26.33	$69.84	$82.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.67 / $271.35 / $608.92	Professional		$127.67	$271.35	$608.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $155.26 / $176.61	Professional		$78.84	$155.26	$176.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,335.00 / $4,487.00	Facility		$1,359.00	$2,335.00	$4,487.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $332.62 / $531.02	Professional		$148.41	$332.62	$531.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.15 / $167.49 / $201.84	Facility		$126.15	$167.49	$201.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.61 / $371.48 / $496.77	Professional		$176.61	$371.48	$496.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $232.12 / $232.12	Facility		$232.12	$232.12	$232.12
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 $154.60 / $339.44 / $633.92	Professional		$154.60	$339.44	$633.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $355.33	Professional		$32.34	$32.34	$355.33
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.41 / $422.09 / $708.58	Professional		$318.41	$422.09	$708.58