Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.37 / $4,549.43 / $5,471.63	Facility		$318.37	$4,549.43	$5,471.63
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $85.56 / $113.79 / $159.19	Facility	52	$85.56	$113.79	$159.19
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $34.22 / $85.64 / $159.11	Facility	53	$34.22	$85.64	$159.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.11 / $283.24 / $458.54	Professional		$171.11	$283.24	$458.54
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $35.93 / $84.16 / $167.06	Professional	53	$35.93	$84.16	$167.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.74 / $207.48 / $262.33	Professional		$165.74	$207.48	$262.33
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $90.53 / $124.53 / $124.53	Professional	53	$90.53	$124.53	$124.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,353.00 / $8,052.00	Facility		$1,749.00	$4,353.00	$8,052.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.68 / $383.80 / $555.79	Professional		$212.68	$383.80	$555.79
Anthem BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $83.02 / $152.21 / $251.42	Professional	53	$83.02	$152.21	$251.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.83 / $165.74 / $236.91	Facility		$21.83	$165.74	$236.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $304.42 / $426.19	Professional		$39.95	$304.42	$426.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.68 / $655.97 / $761.00	Facility		$243.68	$655.97	$761.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $194.94 / $194.94 / $194.94	Facility	52	$194.94	$194.94	$194.94
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.74 / $48.74 / $48.74	Facility	53	$48.74	$48.74	$48.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $301.75 / $628.04	Professional		$301.75	$301.75	$628.04
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $144.07 / $197.16 / $361.48	Professional	53	$144.07	$197.16	$361.48
United Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $2,715.00 / $4,128.00	Facility		$538.00	$2,715.00	$4,128.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.07 / $418.72 / $711.45	Professional		$299.07	$418.72	$711.45
United Facility/Professional Professional Modifier 53 Low / Median / High Price $159.44 / $159.44 / $159.44	Professional	53	$159.44	$159.44	$159.44