Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.40 / $3,675.90 / $9,477.00	Facility		$899.40	$3,675.90	$9,477.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,891.10 / $5,891.10 / $5,891.10	Facility	22	$5,891.10	$5,891.10	$5,891.10
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $391.43 / $432.63 / $576.59	Facility	52	$391.43	$432.63	$576.59
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $156.57 / $173.05 / $230.63	Facility	53	$156.57	$173.05	$230.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.69 / $782.85 / $2,900.99	Professional		$632.69	$782.85	$2,900.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $933.86 / $1,044.58 / $1,083.74	Professional		$933.86	$1,044.58	$1,083.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,300.93 / $5,300.93 / $6,043.06	Facility		$5,300.93	$5,300.93	$6,043.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $690.21 / $913.52 / $1,015.02	Professional		$690.21	$913.52	$1,015.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $613.77 / $852.66 / $1,054.46	Facility		$613.77	$852.66	$1,054.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $576.46 / $797.90 / $1,497.73	Professional		$576.46	$797.90	$1,497.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $1,473.00 / $4,726.62	Facility		$515.00	$1,473.00	$4,726.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.95 / $1,018.35 / $1,185.58	Professional		$639.95	$1,018.35	$1,185.58
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $800.85 / $1,130.61 / $1,246.30	Professional		$800.85	$1,130.61	$1,246.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,635.00 / $8,676.00	Facility		$2,000.00	$3,635.00	$8,676.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.53 / $831.07 / $1,315.57	Professional		$602.53	$831.07	$1,315.57