Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.21 / $543.00 / $5,634.00	Facility		$334.21	$543.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $250.66 / $273.58 / $456.67	Facility	54	$250.66	$273.58	$456.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.31 / $361.87 / $492.44	Professional		$308.31	$361.87	$492.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $342.28 / $342.28 / $494.37	Professional		$342.28	$342.28	$494.37
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 $261.17 / $325.08 / $461.62	Professional		$261.17	$325.08	$461.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $336.17 / $461.41 / $692.12	Facility		$336.17	$461.41	$692.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $360.29 / $450.36 / $648.53	Professional		$360.29	$450.36	$648.53
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 $336.83 / $433.59 / $718.43	Professional		$336.83	$433.59	$718.43
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 $303.77 / $402.75 / $767.46	Professional		$303.77	$402.75	$767.46