Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.18 / $543.00 / $5,634.00	Facility		$213.18	$543.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $159.88 / $163.36 / $274.58	Facility	54	$159.88	$163.36	$274.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.87 / $217.81 / $385.25	Professional		$183.87	$217.81	$385.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $200.99 / $324.95	Professional		$132.22	$200.99	$324.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,677.00 / $5,445.00	Facility		$1,636.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.06 / $210.03 / $298.24	Professional		$164.06	$210.03	$298.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $220.97 / $303.30 / $454.95	Facility		$220.97	$303.30	$454.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $211.57 / $264.45 / $380.82	Professional		$211.57	$264.45	$380.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.79 / $172.79 / $204.82	Facility		$172.79	$172.79	$204.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.29 / $264.51 / $426.14	Professional		$204.29	$264.51	$426.14
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 $176.09 / $228.09 / $404.49	Professional		$176.09	$228.09	$404.49