Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.11 / $3,234.13 / $6,436.17	Facility		$447.11	$3,234.13	$6,436.17
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,255.51 / $1,255.51 / $1,255.51	Facility	22	$1,255.51	$1,255.51	$1,255.51
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $123.72 / $223.56 / $395.69	Facility	52	$123.72	$223.56	$395.69
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $49.49 / $89.42 / $158.28	Facility	53	$49.49	$89.42	$158.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.41 / $405.04 / $669.22	Professional		$242.41	$405.04	$669.22
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $49.49 / $85.29 / $113.62	Professional	53	$49.49	$85.29	$113.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.11 / $266.20 / $307.25	Professional		$207.11	$266.20	$307.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,442.00 / $4,250.00 / $8,240.00	Facility		$1,442.00	$4,250.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.47 / $425.99 / $604.90	Professional		$292.47	$425.99	$604.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.59 / $295.87 / $352.76	Facility		$227.59	$295.87	$352.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $405.04 / $485.08 / $607.55	Professional		$405.04	$485.08	$607.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $4,250.00 / $4,250.00	Facility		$538.00	$4,250.00	$4,250.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $341.33 / $341.33 / $341.33	Facility	52	$341.33	$341.33	$341.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $85.33 / $85.33 / $85.33	Facility	53	$85.33	$85.33	$85.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.13 / $505.34 / $929.41	Professional		$285.13	$505.34	$929.41
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $3,782.00 / $5,402.00	Facility		$648.00	$3,782.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.01 / $542.00 / $891.86	Professional		$389.01	$542.00	$891.86