Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.95 / $1,562.25 / $5,948.08	Facility		$204.95	$1,562.25	$5,948.08
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $74.69 / $182.80 / $549.42	Facility	52	$74.69	$182.80	$549.42
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.87 / $73.12 / $219.77	Facility	53	$29.87	$73.12	$219.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.33 / $257.49 / $1,325.28	Professional		$146.33	$257.49	$1,325.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.67 / $172.04 / $206.45	Professional		$87.67	$172.04	$206.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,117.00 / $8,240.00	Facility		$2,234.00	$5,117.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $353.98 / $1,287.61	Professional		$177.04	$353.98	$1,287.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.63 / $178.92 / $213.33	Facility		$137.63	$178.92	$213.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $915.72 / $1,098.85 / $1,373.58	Professional		$915.72	$1,098.85	$1,373.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.77 / $538.00 / $1,158.10	Facility		$257.77	$538.00	$1,158.10
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $206.22 / $206.22 / $206.22	Facility	52	$206.22	$206.22	$206.22
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.55 / $51.55 / $51.55	Facility	53	$51.55	$51.55	$51.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.05 / $299.67 / $1,588.00	Professional		$171.05	$299.67	$1,588.00
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 $176.74 / $1,008.52 / $1,892.44	Professional		$176.74	$1,008.52	$1,892.44