Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.38 / $3,500.00 / $6,806.02	Facility		$377.38	$3,500.00	$6,806.02
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $85.94 / $188.70 / $205.38	Facility	52	$85.94	$188.70	$205.38
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $34.38 / $75.48 / $82.15	Facility	53	$34.38	$75.48	$82.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.19 / $256.22 / $501.87	Professional		$171.19	$256.22	$501.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.71 / $191.43 / $302.07	Professional		$98.71	$191.43	$302.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,058.00 / $4,353.00 / $8,052.00	Facility		$2,058.00	$4,353.00	$8,052.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.75 / $315.22 / $488.59	Professional		$198.75	$315.22	$488.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.16 / $205.62 / $471.29	Facility		$158.16	$205.62	$471.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.09 / $408.11 / $510.14	Professional		$340.09	$408.11	$510.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.61 / $538.00 / $674.63	Facility		$296.61	$538.00	$674.63
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $237.29 / $237.29 / $237.29	Facility	52	$237.29	$237.29	$237.29
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $59.32 / $59.32 / $59.32	Facility	53	$59.32	$59.32	$59.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.96 / $327.85 / $652.08	Professional		$194.96	$327.85	$652.08
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 $206.53 / $354.77 / $648.50	Professional		$206.53	$354.77	$648.50