Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.29 / $862.27 / $9,579.37	Facility		$89.29	$862.27	$9,579.37
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $37.33 / $95.94 / $121.68	Facility	52	$37.33	$95.94	$121.68
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $14.93 / $38.38 / $48.67	Facility	53	$14.93	$38.38	$48.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $217.09 / $388.19	Professional		$74.66	$217.09	$388.19
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $37.33 / $95.64 / $121.68	Professional	52	$37.33	$95.64	$121.68
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $14.93 / $38.25 / $48.67	Professional	53	$14.93	$38.25	$48.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.55 / $159.77 / $187.96	Professional		$96.55	$159.77	$187.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,801.00 / $5,445.00	Facility		$1,682.00	$3,801.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.86 / $148.60 / $424.76	Professional		$66.86	$148.60	$424.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $94.37 / $112.51	Facility		$72.59	$94.37	$112.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.85 / $227.53 / $296.77	Professional		$197.85	$227.53	$296.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.40 / $423.40 / $423.40	Facility		$423.40	$423.40	$423.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $234.25 / $424.76	Professional		$101.54	$234.25	$424.76
United Facility/Professional Facility Modifier Low / Median / High Price $963.00 / $3,267.00 / $4,480.00	Facility		$963.00	$3,267.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.08 / $238.22 / $404.62	Professional		$191.08	$238.22	$404.62