Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.72 / $2,529.94 / $8,655.16	Facility		$235.72	$2,529.94	$8,655.16
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $100.88 / $190.86 / $591.86	Facility	52	$100.88	$190.86	$591.86
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $40.35 / $76.34 / $236.74	Facility	53	$40.35	$76.34	$236.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.75 / $383.58 / $1,382.49	Professional		$201.75	$383.58	$1,382.49
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $40.35 / $70.73 / $276.50	Professional	53	$40.35	$70.73	$276.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.70 / $269.70 / $269.70	Professional		$269.70	$269.70	$269.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $4,757.00 / $11,056.00	Facility		$1,775.00	$4,757.00	$11,056.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.01 / $425.73 / $1,007.51	Professional		$235.01	$425.73	$1,007.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $214.29 / $300.01 / $353.58	Facility		$214.29	$300.01	$353.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $278.58 / $1,224.84 / $1,570.04	Professional		$278.58	$1,224.84	$1,570.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.80 / $394.29 / $394.29	Facility		$300.80	$394.29	$394.29
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $315.43 / $315.43 / $315.43	Facility	52	$315.43	$315.43	$315.43
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $78.86 / $78.86 / $78.86	Facility	53	$78.86	$78.86	$78.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.73 / $431.71 / $2,131.80	Professional		$277.73	$431.71	$2,131.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.30 / $768.36 / $2,509.02	Professional		$364.30	$768.36	$2,509.02