Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.14 / $512.94 / $988.00	Facility		$281.14	$512.94	$988.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $202.91 / $239.03 / $261.70	Facility	54	$202.91	$239.03	$261.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.69 / $319.14 / $512.94	Professional		$241.69	$319.14	$512.94
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $202.91 / $240.74 / $323.48	Professional	54	$202.91	$240.74	$323.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $304.55 / $437.75	Professional		$301.35	$304.55	$437.75
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 $192.67 / $244.85 / $395.74	Professional		$192.67	$244.85	$395.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $289.01 / $367.27 / $593.61	Professional	50	$289.01	$367.27	$593.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $304.73 / $411.39 / $502.80	Facility		$304.73	$411.39	$502.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $317.20 / $412.37 / $507.54	Professional		$317.20	$412.37	$507.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.81 / $560.70 / $560.70	Facility		$313.81	$560.70	$560.70
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $392.49 / $392.49 / $392.49	Facility	54	$392.49	$392.49	$392.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.92 / $404.43 / $598.24	Professional		$277.92	$404.43	$598.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $412.37	Professional		$32.34	$32.34	$412.37
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 $274.57 / $389.81 / $604.29	Professional		$274.57	$389.81	$604.29