Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.34 / $333.29 / $3,594.48	Facility		$172.34	$333.29	$3,594.48
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $113.75 / $138.44 / $159.05	Facility	54	$113.75	$138.44	$159.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.66 / $183.70 / $271.43	Professional		$151.66	$183.70	$271.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.91 / $269.91 / $269.91	Professional		$269.91	$269.91	$269.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,045.00 / $2,978.00	Facility		$1,066.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.66 / $154.52 / $244.19	Professional		$122.66	$154.52	$244.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $183.99 / $231.78 / $366.29	Professional	50	$183.99	$231.78	$366.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.82 / $226.56 / $255.80	Facility		$167.82	$226.56	$255.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $188.45 / $235.37 / $335.64	Professional		$188.45	$235.37	$335.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.37 / $308.79 / $1,111.00	Facility		$150.37	$308.79	$1,111.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $216.15 / $216.15 / $216.15	Facility	54	$216.15	$216.15	$216.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.95 / $212.32 / $353.24	Professional		$165.95	$212.32	$353.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $250.63	Professional		$32.34	$32.34	$250.63
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $197.91 / $337.07	Professional		$155.16	$197.91	$337.07