Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.65 / $819.84 / $9,226.65	Facility		$177.65	$819.84	$9,226.65
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $114.69 / $133.24 / $245.90	Facility	54	$114.69	$133.24	$245.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $195.70 / $371.00	Professional		$150.63	$195.70	$371.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.57 / $213.89 / $317.77	Professional		$172.57	$213.89	$317.77
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 $144.30 / $187.88 / $266.05	Professional		$144.30	$187.88	$266.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $216.45 / $281.82 / $399.08	Professional	50	$216.45	$281.82	$399.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.76 / $201.31 / $234.86	Facility		$167.76	$201.31	$234.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $213.40 / $261.89	Professional		$194.00	$213.40	$261.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.96 / $159.96 / $159.96	Facility		$159.96	$159.96	$159.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.51 / $207.11 / $318.85	Professional		$161.51	$207.11	$318.85
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.43 / $200.37 / $333.89	Professional		$161.43	$200.37	$333.89