Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.82 / $543.00 / $5,634.00	Facility		$223.82	$543.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $167.87 / $173.19 / $291.35	Facility	54	$167.87	$173.19	$291.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.56 / $230.92 / $305.22	Professional		$195.56	$230.92	$305.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.00 / $224.19 / $309.87	Professional		$211.00	$224.19	$309.87
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 $174.13 / $224.73 / $310.12	Professional		$174.13	$224.73	$310.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.46 / $321.80 / $482.70	Facility		$234.46	$321.80	$482.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.11 / $266.52 / $399.80	Professional		$222.11	$266.52	$399.80
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 $214.01 / $273.17 / $453.15	Professional		$214.01	$273.17	$453.15
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 $186.38 / $247.18 / $428.33	Professional		$186.38	$247.18	$428.33