Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.88 / $370.52 / $2,747.00	Facility		$220.88	$370.52	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $152.58 / $189.86 / $208.59	Facility	54	$152.58	$189.86	$208.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.44 / $252.31 / $413.29	Professional		$203.44	$252.31	$413.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.94 / $109.94 / $109.94	Professional		$109.94	$109.94	$109.94
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 $165.75 / $195.20 / $302.56	Professional		$165.75	$195.20	$302.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $228.01 / $322.18 / $371.66	Facility		$228.01	$322.18	$371.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $243.81 / $322.18 / $498.84	Professional		$243.81	$322.18	$498.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.86 / $423.44 / $423.44	Facility		$273.86	$423.44	$423.44
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $296.41 / $296.41 / $296.41	Facility	54	$296.41	$296.41	$296.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.01 / $327.00 / $477.70	Professional		$233.01	$327.00	$477.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $76.55 / $274.36	Professional		$32.34	$76.55	$274.36
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 $229.90 / $299.87 / $478.14	Professional		$229.90	$299.87	$478.14