Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,556.84 / $40,755.73 / $63,953.38	Facility		$1,556.84	$40,755.73	$63,953.38
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $194.39 / $194.39 / $344.07	Facility	53	$194.39	$194.39	$344.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.62 / $1,102.35 / $1,732.98	Professional		$966.62	$1,102.35	$1,732.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,223.60 / $1,223.60 / $1,223.60	Professional		$1,223.60	$1,223.60	$1,223.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,841.00 / $40,050.00 / $97,906.00	Facility		$3,841.00	$40,050.00	$97,906.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,026.80 / $1,389.58 / $1,875.93	Professional		$1,026.80	$1,389.58	$1,875.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $815.74 / $1,060.46 / $1,223.60	Facility		$815.74	$1,060.46	$1,223.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $815.74 / $897.31 / $1,168.03	Professional		$815.74	$897.31	$1,168.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,135.82 / $1,512.51 / $2,299.90	Professional		$1,135.82	$1,512.51	$2,299.90
United Facility/Professional Facility Modifier Low / Median / High Price $10,855.00 / $20,800.00 / $45,158.00	Facility		$10,855.00	$20,800.00	$45,158.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,058.36 / $1,383.14 / $2,212.25	Professional		$1,058.36	$1,383.14	$2,212.25