Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.63 / $543.00 / $5,634.00	Facility		$231.63	$543.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $173.72 / $189.23 / $319.08	Facility	54	$173.72	$189.23	$319.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.94 / $249.03 / $375.93	Professional		$212.94	$249.03	$375.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.94 / $327.26 / $377.61	Professional		$109.94	$327.26	$377.61
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 $170.90 / $223.97 / $309.07	Professional		$170.90	$223.97	$309.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $236.09 / $324.04 / $486.06	Facility		$236.09	$324.04	$486.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.74 / $314.68 / $453.14	Professional		$251.74	$314.68	$453.14
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 $221.84 / $292.93 / $495.71	Professional		$221.84	$292.93	$495.71
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 $209.67 / $274.87 / $479.73	Professional		$209.67	$274.87	$479.73