Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.47 / $543.00 / $5,634.00	Facility		$234.47	$543.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $175.85 / $189.05 / $317.83	Facility	54	$175.85	$189.05	$317.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.80 / $252.13 / $427.15	Professional		$210.80	$252.13	$427.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.25 / $351.05 / $376.13	Professional		$257.25	$351.05	$376.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.13 / $227.16 / $322.56	Professional		$174.13	$227.16	$322.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.36 / $327.25 / $490.88	Facility		$248.36	$327.25	$490.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $250.75 / $313.44 / $451.35	Professional		$250.75	$313.44	$451.35
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 $224.20 / $297.45 / $500.65	Professional		$224.20	$297.45	$500.65
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 $209.43 / $269.97 / $478.12	Professional		$209.43	$269.97	$478.12