Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.48 / $382.36 / $3,740.00	Facility		$280.48	$382.36	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $210.36 / $259.22 / $280.51	Facility	54	$210.36	$259.22	$280.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.48 / $344.75 / $566.95	Professional		$280.48	$344.75	$566.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $471.28 / $471.28 / $471.28	Professional		$471.28	$471.28	$471.28
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 $230.96 / $276.80 / $417.82	Professional		$230.96	$276.80	$417.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $310.19 / $439.88 / $507.43	Facility		$310.19	$439.88	$507.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $314.20 / $439.88 / $680.02	Professional		$314.20	$439.88	$680.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.58 / $578.13 / $578.13	Facility		$296.58	$578.13	$578.13
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $404.69 / $404.69 / $404.69	Facility	54	$404.69	$404.69	$404.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.00 / $450.75 / $656.93	Professional		$299.00	$450.75	$656.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $442.01	Professional		$32.34	$32.34	$442.01
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 $303.60 / $457.37 / $656.51	Professional		$303.60	$457.37	$656.51