Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.90 / $930.05 / $4,846.00	Facility		$482.90	$930.05	$4,846.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $362.18 / $383.48 / $635.70	Facility	54	$362.18	$383.48	$635.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.36 / $533.26 / $835.42	Professional		$477.36	$533.26	$835.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.68 / $354.68 / $709.35	Professional		$354.68	$354.68	$709.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,140.00 / $5,948.00 / $9,462.00	Facility		$2,140.00	$5,948.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.95 / $591.52 / $835.08	Professional		$459.95	$591.52	$835.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $502.46 / $662.06 / $993.09	Facility		$502.46	$662.06	$993.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.54 / $601.85 / $902.78	Professional		$501.54	$601.85	$902.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.45 / $1,123.45 / $1,331.74	Facility		$1,123.45	$1,123.45	$1,331.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.05 / $628.78 / $1,015.42	Professional		$500.05	$628.78	$1,015.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.82 / $605.42 / $1,057.60	Professional		$449.82	$605.42	$1,057.60