Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.71 / $7,242.50 / $12,869.67	Facility		$786.71	$7,242.50	$12,869.67
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $7,756.02 / $7,756.02 / $7,756.02	Facility	22	$7,756.02	$7,756.02	$7,756.02
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $317.83 / $337.57 / $405.95	Facility	52	$317.83	$337.57	$405.95
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $127.13 / $135.03 / $162.38	Facility	53	$127.13	$135.03	$162.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.69 / $773.49 / $2,435.25	Professional		$632.69	$773.49	$2,435.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $797.90 / $797.90 / $859.28	Professional		$797.90	$797.90	$859.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,350.00 / $8,292.00 / $15,075.00	Facility		$4,350.00	$8,292.00	$15,075.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $585.89 / $709.97 / $961.20	Professional		$585.89	$709.97	$961.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $613.77 / $821.08 / $982.03	Facility		$613.77	$821.08	$982.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $613.77 / $797.90 / $982.03	Professional		$613.77	$797.90	$982.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $753.07 / $753.07 / $753.07	Facility		$753.07	$753.07	$753.07
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 $641.19 / $900.67 / $1,409.01	Professional		$641.19	$900.67	$1,409.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $675.15	Professional		$32.34	$32.34	$675.15
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $2,600.00 / $12,296.00	Facility		$847.00	$2,600.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.53 / $868.65 / $1,329.04	Professional		$602.53	$868.65	$1,329.04