Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.52 / $936.05 / $4,846.00	Facility		$222.52	$936.05	$4,846.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.60 / $218.02 / $238.89	Facility	52	$97.60	$218.02	$238.89
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $39.04 / $87.21 / $94.11	Facility	53	$39.04	$87.21	$94.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.12 / $313.00 / $571.91	Professional		$191.12	$313.00	$571.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.94 / $114.71 / $274.49	Professional		$81.94	$114.71	$274.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $5,117.00 / $8,240.00	Facility		$1,943.00	$5,117.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.82 / $388.61 / $540.28	Professional		$215.82	$388.61	$540.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.09 / $234.12 / $279.14	Facility		$180.09	$234.12	$279.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $392.13 / $470.56 / $588.20	Professional		$392.13	$470.56	$588.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.16 / $761.00 / $848.27	Facility		$338.16	$761.00	$848.27
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $270.52 / $270.52 / $270.52	Facility	52	$270.52	$270.52	$270.52
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.63 / $67.63 / $67.63	Facility	53	$67.63	$67.63	$67.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.11 / $430.30 / $770.72	Professional		$222.11	$430.30	$770.72
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,782.00 / $5,402.00	Facility		$900.00	$3,782.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.34 / $480.14 / $820.72	Professional		$369.34	$480.14	$820.72