Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.46 / $758.54 / $2,526.42	Facility		$430.46	$758.54	$2,526.42
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $322.85 / $394.56 / $474.00	Facility	54	$322.85	$394.56	$474.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.22 / $542.97 / $958.90	Professional		$457.22	$542.97	$958.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $334.78 / $334.78 / $334.78	Professional		$334.78	$334.78	$334.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.16 / $525.36 / $721.60	Professional		$437.16	$525.36	$721.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $468.26 / $669.55 / $772.37	Facility		$468.26	$669.55	$772.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $467.49 / $669.55 / $1,010.96	Professional		$467.49	$669.55	$1,010.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $539.25 / $879.98 / $879.98	Facility		$539.25	$879.98	$879.98
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $615.99 / $615.99 / $615.99	Facility	54	$615.99	$615.99	$615.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.34 / $729.00 / $1,040.18	Professional		$505.34	$729.00	$1,040.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $657.12	Professional		$32.34	$32.34	$657.12
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $517.57 / $703.82 / $1,086.38	Professional		$517.57	$703.82	$1,086.38