Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.83 / $4,846.00 / $7,670.69	Facility		$323.83	$4,846.00	$7,670.69
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $161.91 / $161.91 / $283.50	Facility	52	$161.91	$161.91	$283.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $64.77 / $64.77 / $113.40	Facility	53	$64.77	$64.77	$113.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.37 / $376.14 / $497.87	Professional		$321.37	$376.14	$497.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $299.77 / $371.84 / $446.21	Professional		$299.77	$371.84	$446.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $5,083.00 / $8,240.00	Facility		$800.00	$5,083.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.47 / $425.99 / $587.86	Professional		$292.47	$425.99	$587.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $297.47 / $386.71 / $446.21	Facility		$297.47	$386.71	$446.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $297.47 / $356.96 / $446.21	Professional		$297.47	$356.96	$446.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.67 / $761.00 / $1,873.52	Facility		$373.67	$761.00	$1,873.52
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $291.99 / $291.99 / $291.99	Facility	52	$291.99	$291.99	$291.99
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $73.00 / $73.00 / $73.00	Facility	53	$73.00	$73.00	$73.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.51 / $417.09 / $790.00	Professional		$267.51	$417.09	$790.00
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 $301.11 / $398.02 / $671.84	Professional		$301.11	$398.02	$671.84