Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.09 / $338.11 / $5,634.00	Facility		$247.09	$338.11	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $185.32 / $207.77 / $348.42	Facility	54	$185.32	$207.77	$348.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.90 / $272.12 / $419.61	Professional		$220.90	$272.12	$419.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.44 / $326.44 / $350.48	Professional		$326.44	$326.44	$350.48
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 $184.19 / $238.51 / $338.68	Professional		$184.19	$238.51	$338.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.58 / $343.94 / $515.91	Facility		$250.58	$343.94	$515.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.89 / $343.61 / $494.81	Professional		$274.89	$343.61	$494.81
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 $237.94 / $317.24 / $529.91	Professional		$237.94	$317.24	$529.91
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 $225.29 / $301.80 / $519.57	Professional		$225.29	$301.80	$519.57