Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.89 / $543.00 / $5,634.00	Facility		$247.89	$543.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $185.92 / $194.03 / $325.04	Facility	54	$185.92	$194.03	$325.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.33 / $258.36 / $342.89	Professional		$222.33	$258.36	$342.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $243.62 / $368.12 / $384.66	Professional		$243.62	$368.12	$384.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.74 / $240.93 / $338.54	Professional		$192.74	$240.93	$338.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.32 / $343.57 / $515.36	Facility		$250.32	$343.57	$515.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $256.44 / $320.55 / $461.60	Professional		$256.44	$320.55	$461.60
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 $250.57 / $311.85 / $533.00	Professional		$250.57	$311.85	$533.00
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 $214.93 / $284.64 / $501.27	Professional		$214.93	$284.64	$501.27