Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $186.11 / $228.95 / $257.02	Facility	54	$186.11	$228.95	$257.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.14 / $303.83 / $403.84	Professional		$248.14	$303.83	$403.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $372.13 / $372.13 / $372.13	Professional		$372.13	$372.13	$372.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.64 / $246.80 / $370.31	Professional		$201.64	$246.80	$370.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $277.51 / $388.51 / $623.10	Professional		$277.51	$388.51	$623.10
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $357.43 / $357.43 / $357.43	Facility	54	$357.43	$357.43	$357.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.95 / $400.64 / $586.96	Professional		$277.95	$400.64	$586.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $405.02	Professional		$32.34	$32.34	$405.02
United Facility/Professional Professional Modifier Low / Median / High Price $278.04 / $410.79 / $600.99	Professional		$278.04	$410.79	$600.99