Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.64 / $14,922.80 / $24,336.86	Facility		$602.64	$14,922.80	$24,336.86
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $260.75 / $260.75 / $461.52	Facility	52	$260.75	$260.75	$461.52
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $104.30 / $104.30 / $184.61	Facility	53	$104.30	$104.30	$184.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.49 / $593.50 / $1,000.38	Professional		$521.49	$593.50	$1,000.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $759.42 / $759.42 / $759.42	Professional		$759.42	$759.42	$759.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $29,226.00 / $47,221.00	Facility		$2,575.00	$29,226.00	$47,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $565.58 / $884.66 / $1,220.83	Professional		$565.58	$884.66	$1,220.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $506.28 / $658.16 / $759.42	Facility		$506.28	$658.16	$759.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $506.28 / $556.91 / $725.01	Professional		$506.28	$556.91	$725.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,373.36 / $9,373.36 / $9,373.36	Facility		$9,373.36	$9,373.36	$9,373.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.95 / $833.13 / $1,231.18	Professional		$649.95	$833.13	$1,231.18
United Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $13,813.00 / $28,128.00	Facility		$5,897.00	$13,813.00	$28,128.00
United Facility/Professional Professional Modifier Low / Median / High Price $556.05 / $731.48 / $1,162.17	Professional		$556.05	$731.48	$1,162.17