Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $543.00 / $5,634.00	Facility		$78.84	$543.00	$5,634.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.77 / $35.78 / $40.53	Facility	53	$15.77	$35.78	$40.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $147.94 / $223.60	Professional		$73.45	$147.94	$223.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $78.56 / $94.12	Professional		$69.91	$78.56	$94.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.20 / $209.20 / $403.76	Facility		$209.20	$209.20	$403.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $209.20 / $297.06	Professional		$75.18	$209.20	$297.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.80 / $97.88 / $116.70	Facility		$76.80	$97.88	$116.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.65 / $182.22 / $248.48	Professional		$165.65	$182.22	$248.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $140.54	Facility		$140.54	$140.54	$140.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.11 / $28.11 / $28.11	Facility	53	$28.11	$28.11	$28.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.85 / $190.14 / $369.24	Professional		$93.85	$190.14	$369.24
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.83 / $228.19 / $409.59	Professional		$174.83	$228.19	$409.59