Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.32 / $293.86 / $4,846.00	Facility		$271.32	$293.86	$4,846.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $203.49 / $220.40 / $369.50	Facility	54	$203.49	$220.40	$369.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.27 / $292.20 / $396.71	Professional		$245.27	$292.20	$396.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $205.16 / $205.16 / $205.16	Professional		$205.16	$205.16	$205.16
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 $197.07 / $263.29 / $363.34	Professional		$197.07	$263.29	$363.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $285.64 / $376.39 / $564.59	Facility		$285.64	$376.39	$564.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $291.52 / $349.82 / $524.73	Professional		$291.52	$349.82	$524.73
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 $249.12 / $338.31 / $581.47	Professional		$249.12	$338.31	$581.47
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 $244.46 / $324.49 / $562.52	Professional		$244.46	$324.49	$562.52