Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.20 / $1,917.19 / $8,229.00	Facility		$317.20	$1,917.19	$8,229.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $158.61 / $166.57 / $236.25	Facility	52	$158.61	$166.57	$236.25
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $63.44 / $66.63 / $94.50	Facility	53	$63.44	$66.63	$94.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.20 / $405.14 / $595.35	Professional		$317.20	$405.14	$595.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $327.02 / $371.84 / $371.84	Professional		$327.02	$371.84	$371.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $2,654.00 / $4,423.00	Facility		$1,421.00	$2,654.00	$4,423.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.77 / $298.56 / $452.78	Professional		$253.77	$298.56	$452.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.86 / $401.66 / $484.58	Facility		$302.86	$401.66	$484.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.86 / $393.72 / $484.58	Professional		$302.86	$393.72	$484.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.67 / $373.67 / $373.67	Facility		$373.67	$373.67	$373.67
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 $311.39 / $432.56 / $658.11	Professional		$311.39	$432.56	$658.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $333.15	Professional		$32.34	$32.34	$333.15
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,339.00 / $5,301.00	Facility		$523.00	$1,339.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $311.49 / $464.28 / $674.04	Professional		$311.49	$464.28	$674.04