Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.51 / $2,196.48 / $4,846.00	Facility		$162.51	$2,196.48	$4,846.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $52.26 / $127.91 / $154.69	Facility	52	$52.26	$127.91	$154.69
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $20.90 / $51.16 / $61.87	Facility	53	$20.90	$51.16	$61.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $212.02 / $422.00	Professional		$97.14	$212.02	$422.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.51 / $105.78 / $144.24	Professional		$87.51	$105.78	$144.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $3,399.00 / $6,008.00	Facility		$600.00	$3,399.00	$6,008.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $219.13 / $410.13	Professional		$101.76	$219.13	$410.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.16 / $125.01 / $149.05	Facility		$96.16	$125.01	$149.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.81 / $309.37 / $386.72	Professional		$257.81	$309.37	$386.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.49 / $674.63 / $761.00	Facility		$179.49	$674.63	$761.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $143.59 / $143.59 / $143.59	Facility	52	$143.59	$143.59	$143.59
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.90 / $35.90 / $35.90	Facility	53	$35.90	$35.90	$35.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.65 / $234.19 / $491.69	Professional		$117.65	$234.19	$491.69
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 $261.48 / $349.09 / $591.42	Professional		$261.48	$349.09	$591.42