Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.22 / $404.76 / $2,747.00	Facility		$245.22	$404.76	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $168.89 / $208.27 / $234.41	Facility	54	$168.89	$208.27	$234.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.46 / $264.85 / $344.63	Professional		$220.46	$264.85	$344.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $328.53 / $328.53 / $328.53	Professional		$328.53	$328.53	$328.53
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 $187.96 / $230.59 / $337.08	Professional		$187.96	$230.59	$337.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $249.37 / $353.43 / $407.70	Facility		$249.37	$353.43	$407.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $278.52 / $353.43 / $540.24	Professional		$278.52	$353.43	$540.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.97 / $464.51 / $464.51	Facility		$251.97	$464.51	$464.51
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $325.16 / $325.16 / $325.16	Facility	54	$325.16	$325.16	$325.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.56 / $364.44 / $532.00	Professional		$252.56	$364.44	$532.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $357.68	Professional		$32.34	$32.34	$357.68
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 $244.43 / $351.41 / $533.16	Professional		$244.43	$351.41	$533.16