Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.76 / $512.66 / $9,286.84	Facility		$147.76	$512.66	$9,286.84
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.55 / $64.59 / $74.62	Facility	53	$29.55	$64.59	$74.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.76 / $245.19 / $425.19	Professional		$147.76	$245.19	$425.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $276.05 / $276.05 / $276.05	Professional		$276.05	$276.05	$276.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,905.00 / $8,240.00	Facility		$1,682.00	$3,905.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.83 / $269.45 / $418.45	Professional		$204.83	$269.45	$418.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.07 / $177.24 / $442.44	Facility		$139.07	$177.24	$442.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $303.35 / $364.02 / $464.56	Professional		$303.35	$364.02	$464.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,243.79 / $2,243.79 / $2,243.79	Facility		$2,243.79	$2,243.79	$2,243.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.53 / $292.98 / $582.62	Professional		$190.53	$292.98	$582.62
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 $237.40 / $316.11 / $541.79	Professional		$237.40	$316.11	$541.79