Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $712.24 / $3,810.56	Facility		$261.14	$712.24	$3,810.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $142.16 / $157.60 / $264.80	Facility	52	$142.16	$157.60	$264.80
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $213.25 / $236.40 / $397.20	Facility	54	$213.25	$236.40	$397.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.31 / $311.02 / $408.14	Professional		$248.31	$311.02	$408.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $159.60 / $215.46	Professional		$159.60	$159.60	$215.46
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 $216.55 / $306.88 / $431.10	Professional		$216.55	$306.88	$431.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.00 / $422.75 / $592.94	Facility		$288.00	$422.75	$592.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $313.37 / $376.04 / $564.05	Professional		$313.37	$376.04	$564.05
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 $289.24 / $360.62 / $601.03	Professional		$289.24	$360.62	$601.03
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 $253.54 / $329.79 / $586.40	Professional		$253.54	$329.79	$586.40