Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.25 / $747.63 / $7,212.00	Facility		$252.25	$747.63	$7,212.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $126.13 / $302.56 / $349.09	Facility	52	$126.13	$302.56	$349.09
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $50.45 / $121.02 / $139.63	Facility	53	$50.45	$121.02	$139.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.25 / $505.98 / $826.53	Professional		$252.25	$505.98	$826.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.36 / $241.93 / $347.99	Professional		$219.36	$241.93	$347.99
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 $299.47 / $458.64 / $651.26	Professional		$299.47	$458.64	$651.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $231.99 / $301.58 / $814.87	Facility		$231.99	$301.58	$814.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $581.82 / $698.18 / $872.73	Professional		$581.82	$698.18	$872.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.63 / $538.00 / $848.27	Facility		$434.63	$538.00	$848.27
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $347.70 / $347.70 / $347.70	Facility	52	$347.70	$347.70	$347.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $86.93 / $86.93 / $86.93	Facility	53	$86.93	$86.93	$86.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.24 / $599.51 / $1,135.20	Professional		$285.24	$599.51	$1,135.20
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 $573.75 / $700.83 / $1,227.73	Professional		$573.75	$700.83	$1,227.73