Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.15 / $505.59 / $5,320.00	Facility		$105.15	$505.59	$5,320.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $50.95 / $77.83 / $212.32	Facility	52	$50.95	$77.83	$212.32
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $20.38 / $31.13 / $84.93	Facility	53	$20.38	$31.13	$84.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $259.47 / $459.05	Professional		$100.86	$259.47	$459.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.51 / $108.18 / $138.84	Professional		$87.51	$108.18	$138.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.27 / $208.09 / $358.16	Professional		$91.27	$208.09	$358.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.55 / $129.18 / $156.08	Facility		$97.55	$129.18	$156.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.57 / $289.00 / $376.95	Professional		$136.57	$289.00	$376.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.49 / $179.49 / $179.49	Facility		$179.49	$179.49	$179.49
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 $114.03 / $274.80 / $546.83	Professional		$114.03	$274.80	$546.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $276.43	Professional		$32.34	$32.34	$276.43
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.11 / $397.25 / $583.09	Professional		$272.11	$397.25	$583.09