Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.25 / $1,685.91 / $5,343.00	Facility		$62.25	$1,685.91	$5,343.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $27.31 / $66.83 / $99.84	Facility	52	$27.31	$66.83	$99.84
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.92 / $26.73 / $39.94	Facility	53	$10.92	$26.73	$39.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.35 / $104.85 / $228.91	Professional		$54.35	$104.85	$228.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $65.00 / $76.92	Professional		$38.46	$65.00	$76.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $3,399.00 / $6,008.00	Facility		$600.00	$3,399.00	$6,008.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $85.47 / $146.78	Professional		$42.21	$85.47	$146.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.28 / $66.66 / $79.48	Facility		$51.28	$66.66	$79.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $166.40 / $199.68 / $248.71	Professional		$166.40	$199.68	$248.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.68 / $199.40 / $761.00	Facility		$95.68	$199.40	$761.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $76.54 / $76.54 / $76.54	Facility	52	$76.54	$76.54	$76.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.14 / $19.14 / $19.14	Facility	53	$19.14	$19.14	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $146.16 / $275.66	Professional		$63.54	$146.16	$275.66
United Facility/Professional Facility Modifier Low / Median / High Price $764.08 / $2,410.00 / $4,078.00	Facility		$764.08	$2,410.00	$4,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $170.74 / $304.02	Professional		$129.03	$170.74	$304.02