Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.28 / $543.00 / $5,634.00	Facility		$255.28	$543.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $191.46 / $209.29 / $350.65	Facility	54	$191.46	$209.29	$350.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.85 / $276.04 / $376.72	Professional		$234.85	$276.04	$376.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $279.25 / $279.25 / $345.81	Professional		$279.25	$279.25	$345.81
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 $198.48 / $248.10 / $346.01	Professional		$198.48	$248.10	$346.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.85 / $373.59 / $530.87	Facility		$257.85	$373.59	$530.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $276.64 / $331.98 / $497.97	Professional		$276.64	$331.98	$497.97
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 $252.56 / $321.95 / $548.63	Professional		$252.56	$321.95	$548.63
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 $233.01 / $307.14 / $541.07	Professional		$233.01	$307.14	$541.07