Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.65 / $11,577.04 / $24,482.81	Facility		$950.65	$11,577.04	$24,482.81
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $316.98 / $316.98 / $496.56	Facility	52	$316.98	$316.98	$496.56
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $126.79 / $126.79 / $198.62	Facility	53	$126.79	$126.79	$198.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.87 / $708.95 / $1,479.24	Professional		$630.87	$708.95	$1,479.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $534.75 / $802.13 / $881.46	Professional		$534.75	$802.13	$881.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,447.00 / $15,510.00 / $31,716.00	Facility		$4,447.00	$15,510.00	$31,716.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.10 / $892.00 / $1,204.20	Professional		$660.10	$892.00	$1,204.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $587.64 / $763.93 / $889.97	Facility		$587.64	$763.93	$889.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $587.64 / $705.17 / $881.46	Professional		$587.64	$705.17	$881.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $15,509.74 / $15,510.00	Facility		$761.00	$15,509.74	$15,510.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $594.13 / $594.13 / $594.13	Facility	52	$594.13	$594.13	$594.13
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $148.53 / $148.53 / $148.53	Facility	53	$148.53	$148.53	$148.53
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.27 / $74.27 / $74.27	Facility	AS	$74.27	$74.27	$74.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.13 / $863.39 / $1,346.60	Professional		$650.13	$863.39	$1,346.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,300.00 / $11,200.00 / $17,416.00	Facility		$3,300.00	$11,200.00	$17,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.67 / $746.45 / $1,271.78	Professional		$588.67	$746.45	$1,271.78