Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.50 / $287.39 / $4,846.00	Facility		$273.50	$287.39	$4,846.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $205.13 / $215.55 / $361.87	Facility	54	$205.13	$215.55	$361.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.21 / $287.39 / $487.82	Professional		$239.21	$287.39	$487.82
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $188.74 / $215.55 / $290.99	Professional	54	$188.74	$215.55	$290.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $298.35 / $428.25	Professional		$271.22	$298.35	$428.25
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 $185.83 / $249.04 / $352.28	Professional		$185.83	$249.04	$352.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $272.38 / $354.09 / $408.57	Facility		$272.38	$354.09	$408.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $285.50 / $342.60 / $428.25	Professional		$285.50	$342.60	$428.25
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 $208.41 / $317.14 / $530.27	Professional		$208.41	$317.14	$530.27
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 $231.79 / $306.76 / $537.84	Professional		$231.79	$306.76	$537.84