Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,380.38 / $4,897.79	Facility		$478.63	$1,380.38	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $724.44	Professional		$257.04	$371.54	$724.44
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $338.84 / $489.78 / $758.58	Professional	54	$338.84	$489.78	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $478.63	Professional		$194.98	$309.03	$478.63
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $181.97 / $181.97 / $181.97	Professional	54	$181.97	$181.97	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $416.87	Professional		$199.53	$251.19	$416.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $302.00 / $338.84	Facility		$275.42	$302.00	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $323.59 / $549.54	Facility		$223.87	$323.59	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $489.78	Professional		$218.78	$323.59	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,137.96 / $5,754.40	Facility		$199.53	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $512.86	Professional		$223.87	$288.40	$512.86