Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.21 / $3,627.00 / $20,466.75	Facility		$571.21	$3,627.00	$20,466.75
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $285.61 / $294.07 / $339.35	Facility	52	$285.61	$294.07	$339.35
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $114.24 / $117.63 / $135.74	Facility	53	$114.24	$117.63	$135.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.21 / $582.29 / $1,021.22	Professional		$538.21	$582.29	$1,021.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $668.34 / $695.07 / $737.84	Professional		$668.34	$695.07	$737.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,302.00 / $23,691.00 / $33,627.00	Facility		$10,302.00	$23,691.00	$33,627.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.74 / $565.58 / $794.59	Professional		$480.74	$565.58	$794.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $545.36 / $748.54 / $863.49	Facility		$545.36	$748.54	$863.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $534.66 / $713.85 / $882.21	Professional		$534.66	$713.85	$882.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.62 / $659.62 / $659.62	Facility		$659.62	$659.62	$659.62
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $512.70 / $512.70 / $512.70	Facility	52	$512.70	$512.70	$512.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $128.18 / $128.18 / $128.18	Facility	53	$128.18	$128.18	$128.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.92 / $847.65 / $1,720.52	Professional		$592.92	$847.65	$1,720.52
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 $1,300.00 / $6,818.00 / $33,259.00	Facility		$1,300.00	$6,818.00	$33,259.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.47 / $786.33 / $1,096.09	Professional		$524.47	$786.33	$1,096.09