Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.65 / $456.69 / $2,747.00	Facility		$251.65	$456.69	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $179.96 / $201.68 / $233.45	Facility	54	$179.96	$201.68	$233.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.94 / $287.39 / $476.67	Professional		$239.94	$287.39	$476.67
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $179.96 / $212.45 / $238.07	Professional	54	$179.96	$212.45	$238.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $298.35 / $339.03	Professional		$271.22	$298.35	$339.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.57 / $218.63 / $349.74	Professional		$173.57	$218.63	$349.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $268.24 / $378.69 / $436.85	Facility		$268.24	$378.69	$436.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $246.01 / $378.69 / $540.98	Professional		$246.01	$378.69	$540.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.79 / $497.70 / $497.70	Facility		$264.79	$497.70	$497.70
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $348.39 / $348.39 / $348.39	Facility	54	$348.39	$348.39	$348.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.94 / $364.62 / $536.92	Professional		$244.94	$364.62	$536.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $61.70 / $311.27	Professional		$32.34	$61.70	$311.27
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.63 / $346.30 / $541.08	Professional		$241.63	$346.30	$541.08