Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.00 / $5,528.56 / $11,093.00	Facility		$271.00	$5,528.56	$11,093.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $112.92 / $212.20 / $684.80	Facility	52	$112.92	$212.20	$684.80
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $45.17 / $84.88 / $273.92	Facility	53	$45.17	$84.88	$273.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.84 / $368.93 / $1,745.33	Professional		$225.84	$368.93	$1,745.33
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $45.17 / $70.73 / $273.92	Professional	53	$45.17	$70.73	$273.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.79 / $311.19 / $1,013.28	Professional		$188.79	$311.19	$1,013.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,309.00 / $6,278.00 / $10,837.00	Facility		$3,309.00	$6,278.00	$10,837.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $439.10 / $2,476.07	Professional		$188.55	$439.10	$2,476.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $207.46 / $269.70 / $321.56	Facility		$207.46	$269.70	$321.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,113.50 / $1,280.53 / $1,670.25	Professional		$1,113.50	$1,280.53	$1,670.25
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 $287.89 / $409.54 / $1,821.50	Professional		$287.89	$409.54	$1,821.50
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 $314.27 / $1,329.44 / $2,266.14	Professional		$314.27	$1,329.44	$2,266.14