Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.05 / $73.26 / $4,846.00	Facility		$45.05	$73.26	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $69.70 / $97.29	Professional		$43.79	$69.70	$97.29
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.38 / $31.67 / $40.98	Professional	52	$22.38	$31.67	$40.98
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $8.94 / $12.67 / $16.39	Professional	53	$8.94	$12.67	$16.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $75.79 / $84.95	Professional		$43.86	$75.79	$84.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $69.28 / $128.97	Professional		$37.99	$69.28	$128.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $53.66 / $91.67	Facility		$42.11	$53.66	$91.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.63 / $77.03 / $99.95	Professional		$66.63	$77.03	$99.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.58 / $51.58 / $51.58	Facility		$51.58	$51.58	$51.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.78 / $84.87 / $152.99	Professional		$53.78	$84.87	$152.99
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $81.34 / $130.75	Professional		$64.97	$81.34	$130.75