Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.49 / $1,875.15 / $5,340.99	Facility		$111.49	$1,875.15	$5,340.99
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.57 / $48.34 / $375.03	Facility	53	$18.57	$48.34	$375.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $224.93 / $553.35	Professional		$91.34	$224.93	$553.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.36 / $126.55 / $213.61	Professional		$84.36	$126.55	$213.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $740.96 / $3,896.00 / $8,230.00	Facility		$740.96	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $98.37 / $134.63	Professional		$82.92	$98.37	$134.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.71 / $113.39 / $136.07	Facility		$90.71	$113.39	$136.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $229.69 / $275.63 / $334.96	Professional		$229.69	$275.63	$334.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $590.58 / $1,875.00 / $1,875.15	Facility		$590.58	$1,875.00	$1,875.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.59 / $204.24 / $372.68	Professional		$105.59	$204.24	$372.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.78 / $276.99 / $465.26	Professional		$205.78	$276.99	$465.26