Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $412.01 / $1,769.16	Facility		$105.00	$412.01	$1,769.16
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $65.98 / $78.75 / $146.72	Facility	54	$65.98	$78.75	$146.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $114.41 / $218.62	Professional		$85.31	$114.41	$218.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $125.36 / $158.02	Professional		$102.97	$125.36	$158.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $112.64 / $148.68	Professional		$74.63	$112.64	$148.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.87 / $117.44 / $135.69	Facility		$97.87	$117.44	$135.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $127.34 / $156.28	Professional		$115.76	$127.34	$156.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.94 / $107.94 / $107.94	Facility		$107.94	$107.94	$107.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.24 / $124.29 / $185.19	Professional		$92.24	$124.29	$185.19
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,291.00 / $4,426.00	Facility		$600.00	$2,291.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $114.65 / $189.17	Professional		$78.37	$114.65	$189.17