Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.11 / $524.33 / $2,747.00	Facility		$321.11	$524.33	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $221.50 / $272.12 / $323.57	Facility	54	$221.50	$272.12	$323.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.33 / $364.77 / $587.54	Professional		$295.33	$364.77	$587.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $342.28 / $342.28 / $342.28	Professional		$342.28	$342.28	$342.28
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 $251.56 / $307.26 / $441.91	Professional		$251.56	$307.26	$441.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $325.33 / $461.78 / $532.67	Facility		$325.33	$461.78	$532.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $362.82 / $461.78 / $718.10	Professional		$362.82	$461.78	$718.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.44 / $606.91 / $606.91	Facility		$371.44	$606.91	$606.91
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $424.84 / $424.84 / $424.84	Facility	54	$424.84	$424.84	$424.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.83 / $475.95 / $704.87	Professional		$336.83	$475.95	$704.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $466.77	Professional		$32.34	$32.34	$466.77
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 $321.86 / $448.08 / $696.68	Professional		$321.86	$448.08	$696.68