Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.02 / $440.07 / $2,747.00	Facility		$243.02	$440.07	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $163.33 / $202.31 / $225.24	Facility	54	$163.33	$202.31	$225.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.77 / $260.58 / $394.42	Professional		$217.77	$260.58	$394.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.44 / $326.44 / $376.76	Professional		$326.44	$326.44	$376.76
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 $169.90 / $210.39 / $323.10	Professional		$169.90	$210.39	$323.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.30 / $343.31 / $396.04	Facility		$242.30	$343.31	$396.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $266.88 / $343.31 / $546.04	Professional		$266.88	$343.31	$546.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.39 / $451.20 / $451.20	Facility		$292.39	$451.20	$451.20
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $315.83 / $315.83 / $315.83	Facility	54	$315.83	$315.83	$315.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.14 / $346.57 / $508.44	Professional		$249.14	$346.57	$508.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $354.93	Professional		$32.34	$32.34	$354.93
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 $239.64 / $324.50 / $519.57	Professional		$239.64	$324.50	$519.57