Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.40 / $340.79 / $3,740.00	Facility		$218.40	$340.79	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $163.80 / $201.93 / $255.59	Facility	54	$163.80	$201.93	$255.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.66 / $261.70 / $407.22	Professional		$218.66	$261.70	$407.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $243.62 / $243.62 / $243.62	Professional		$243.62	$243.62	$243.62
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 $181.10 / $223.49 / $328.43	Professional		$181.10	$223.49	$328.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.99 / $342.66 / $395.30	Facility		$241.99	$342.66	$395.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $244.76 / $342.66 / $510.52	Professional		$244.76	$342.66	$510.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.52 / $450.36 / $450.36	Facility		$258.52	$450.36	$450.36
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $315.25 / $315.25 / $315.25	Facility	54	$315.25	$315.25	$315.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.55 / $345.50 / $522.09	Professional		$254.55	$345.50	$522.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $90.33 / $280.79	Professional		$32.34	$90.33	$280.79
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 $226.00 / $315.07 / $492.27	Professional		$226.00	$315.07	$492.27