Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.12 / $270.25 / $3,740.00	Facility		$197.12	$270.25	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $147.84 / $183.27 / $202.69	Facility	54	$147.84	$183.27	$202.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.56 / $231.00 / $302.14	Professional		$195.56	$231.00	$302.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.00 / $286.91 / $309.87	Professional		$211.00	$286.91	$309.87
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 $169.06 / $198.90 / $305.35	Professional		$169.06	$198.90	$305.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $226.68 / $321.33 / $370.69	Facility		$226.68	$321.33	$370.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.76 / $311.01 / $444.30	Professional		$208.76	$311.01	$444.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.12 / $278.24 / $278.24	Facility		$266.12	$278.24	$278.24
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $192.34 / $192.34 / $192.34	Facility	54	$192.34	$192.34	$192.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.20 / $313.12 / $444.88	Professional		$216.20	$313.12	$444.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $288.80	Professional		$32.34	$32.34	$288.80
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 $197.01 / $280.02 / $428.33	Professional		$197.01	$280.02	$428.33