Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.40 / $2,360.71 / $6,706.49	Facility		$78.40	$2,360.71	$6,706.49
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $35.08 / $81.11 / $150.86	Facility	52	$35.08	$81.11	$150.86
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $14.03 / $32.45 / $60.34	Facility	53	$14.03	$32.45	$60.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $135.19 / $335.66	Professional		$68.34	$135.19	$335.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $84.93 / $104.53	Professional		$49.00	$84.93	$104.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,635.00 / $5,445.00	Facility		$1,636.00	$3,635.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.23 / $113.16 / $199.98	Professional		$59.23	$113.16	$199.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $84.93 / $101.26	Facility		$65.33	$84.93	$101.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.43 / $301.72 / $374.68	Professional		$251.43	$301.72	$374.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.96 / $402.00 / $655.97	Facility		$121.96	$402.00	$655.97
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.57 / $97.57 / $97.57	Facility	52	$97.57	$97.57	$97.57
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.39 / $24.39 / $24.39	Facility	53	$24.39	$24.39	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $173.44 / $381.85	Professional		$76.34	$173.44	$381.85
United Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $2,811.00 / $4,128.00	Facility		$538.00	$2,811.00	$4,128.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.72 / $258.56 / $478.34	Professional		$165.72	$258.56	$478.34