Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.71 / $1,674.62 / $5,215.53	Facility		$151.71	$1,674.62	$5,215.53
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $73.17 / $97.61 / $494.32	Facility	52	$73.17	$97.61	$494.32
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.27 / $39.04 / $197.73	Facility	53	$29.27	$39.04	$197.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.33 / $294.35 / $1,498.53	Professional		$146.33	$294.35	$1,498.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $166.70 / $196.13	Professional		$98.06	$166.70	$196.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $2,654.00 / $4,650.00	Facility		$1,421.00	$2,654.00	$4,650.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $259.70 / $1,066.80	Professional		$150.47	$259.70	$1,066.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.09 / $186.04 / $224.14	Facility		$140.09	$186.04	$224.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.13 / $1,012.24 / $1,355.52	Professional		$196.13	$1,012.24	$1,355.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.77 / $257.77 / $257.77	Facility		$257.77	$257.77	$257.77
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 $163.96 / $279.98 / $1,707.84	Professional		$163.96	$279.98	$1,707.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $968.23	Professional		$32.34	$32.34	$968.23
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 $207.89 / $1,008.52 / $1,932.37	Professional		$207.89	$1,008.52	$1,932.37