Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.44 / $469.84 / $5,320.00	Facility		$276.44	$469.84	$5,320.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $187.61 / $230.75 / $294.25	Facility	54	$187.61	$230.75	$294.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.15 / $305.98 / $433.54	Professional		$250.15	$305.98	$433.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $244.74 / $293.20 / $293.20	Professional		$244.74	$293.20	$293.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,066.00	Facility		$1,258.00	$2,316.00	$4,066.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.79 / $263.13 / $375.84	Professional		$216.79	$263.13	$375.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $276.08 / $391.58 / $451.73	Facility		$276.08	$391.58	$451.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $307.67 / $391.58 / $617.26	Professional		$307.67	$391.58	$617.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.69 / $514.65 / $514.65	Facility		$315.69	$514.65	$514.65
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $360.25 / $360.25 / $360.25	Facility	54	$360.25	$360.25	$360.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.04 / $403.73 / $597.80	Professional		$291.04	$403.73	$597.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $91.89 / $339.49	Professional		$32.34	$91.89	$339.49
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 $271.82 / $387.23 / $595.35	Professional		$271.82	$387.23	$595.35