Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.62 / $380.10 / $3,740.00	Facility		$264.62	$380.10	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $198.47 / $245.40 / $285.08	Facility	54	$198.47	$245.40	$285.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.62 / $317.52 / $478.05	Professional		$264.62	$317.52	$478.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.04 / $316.04 / $316.04	Professional		$316.04	$316.04	$316.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.56 / $266.62 / $394.23	Professional		$217.56	$266.62	$394.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $294.24 / $416.43 / $480.38	Facility		$294.24	$416.43	$480.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $306.01 / $416.43 / $614.66	Professional		$306.01	$416.43	$614.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.43 / $547.30 / $547.30	Facility		$296.43	$547.30	$547.30
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $383.12 / $383.12 / $383.12	Facility	54	$383.12	$383.12	$383.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.04 / $419.90 / $619.94	Professional		$299.04	$419.90	$619.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $406.97	Professional		$32.34	$32.34	$406.97
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 $274.39 / $404.18 / $652.10	Professional		$274.39	$404.18	$652.10