Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.82 / $928.27 / $4,846.00	Facility		$61.82	$928.27	$4,846.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $30.91 / $50.04 / $58.90	Facility	52	$30.91	$50.04	$58.90
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $12.36 / $20.01 / $23.56	Facility	53	$12.36	$20.01	$23.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.82 / $100.07 / $179.46	Professional		$61.82	$100.07	$179.46
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.91 / $43.55 / $55.34	Professional	52	$30.91	$43.55	$55.34
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $12.36 / $17.42 / $23.80	Professional	53	$12.36	$17.42	$23.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.61 / $99.44 / $114.74	Professional		$69.61	$99.44	$114.74
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $20.47 / $20.47 / $20.47	Professional	52	$20.47	$20.47	$20.47
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 $57.10 / $95.39 / $188.21	Professional		$57.10	$95.39	$188.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.59 / $73.56 / $87.71	Facility		$56.59	$73.56	$87.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $103.49 / $131.27	Professional		$89.99	$103.49	$131.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $69.34 / $69.34	Facility		$69.34	$69.34	$69.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $125.12 / $220.77	Professional		$80.64	$125.12	$220.77
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 $92.54 / $120.00 / $187.70	Professional		$92.54	$120.00	$187.70