Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.87 / $349.85 / $3,740.00	Facility		$191.87	$349.85	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $140.97 / $174.57 / $197.54	Facility	54	$140.97	$174.57	$197.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $221.22 / $373.41	Professional		$184.84	$221.22	$373.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.99 / $200.99 / $200.99	Professional		$200.99	$200.99	$200.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.51 / $187.40 / $285.02	Professional		$153.51	$187.40	$285.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.66 / $303.00 / $349.54	Facility		$213.66	$303.00	$349.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $216.43 / $296.24 / $423.20	Professional		$216.43	$296.24	$423.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.40 / $265.22 / $265.22	Facility		$208.40	$265.22	$265.22
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $183.20 / $183.20 / $183.20	Facility	54	$183.20	$183.20	$183.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.12 / $294.70 / $419.08	Professional		$208.12	$294.70	$419.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $275.08	Professional		$32.34	$32.34	$275.08
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.47 / $251.69 / $400.64	Professional		$182.47	$251.69	$400.64