Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.38 / $431.89 / $2,747.00	Facility		$238.38	$431.89	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $162.38 / $201.39 / $223.06	Facility	54	$162.38	$201.39	$223.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.51 / $257.92 / $331.72	Professional		$216.51	$257.92	$331.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $372.59 / $372.59 / $372.59	Professional		$372.59	$372.59	$372.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.05 / $212.80 / $321.14	Professional		$173.05	$212.80	$321.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.29 / $341.75 / $394.23	Facility		$241.29	$341.75	$394.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $268.52 / $341.75 / $536.44	Professional		$268.52	$341.75	$536.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.85 / $449.16 / $449.16	Facility		$292.85	$449.16	$449.16
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $314.41 / $314.41 / $314.41	Facility	54	$314.41	$314.41	$314.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.69 / $341.94 / $501.11	Professional		$243.69	$341.94	$501.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $82.50 / $295.04	Professional		$32.34	$82.50	$295.04
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 $233.85 / $344.65 / $551.29	Professional		$233.85	$344.65	$551.29