Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.76 / $922.45 / $7,212.00	Facility		$190.76	$922.45	$7,212.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $95.38 / $245.13 / $481.26	Facility	52	$95.38	$245.13	$481.26
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $38.15 / $98.05 / $192.50	Facility	53	$38.15	$98.05	$192.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.76 / $398.82 / $939.07	Professional		$190.76	$398.82	$939.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.12 / $218.12 / $218.12	Professional		$218.12	$218.12	$218.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.71 / $651.70 / $1,456.95	Professional		$241.71	$651.70	$1,456.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.05 / $281.02 / $1,095.50	Facility		$202.05	$281.02	$1,095.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $821.66 / $1,017.29 / $1,408.56	Professional		$821.66	$1,017.29	$1,408.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,286.40 / $1,286.40 / $1,286.40	Facility		$1,286.40	$1,286.40	$1,286.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.78 / $436.22 / $1,278.86	Professional		$221.78	$436.22	$1,278.86
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $801.48 / $1,016.16 / $1,664.55	Professional		$801.48	$1,016.16	$1,664.55