Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.26 / $463.27 / $5,634.00	Facility		$180.26	$463.27	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $135.19 / $144.00 / $242.80	Facility	54	$135.19	$144.00	$242.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.06 / $192.00 / $337.21	Professional		$162.06	$192.00	$337.21
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $123.21 / $144.00 / $194.39	Professional	54	$123.21	$144.00	$194.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $197.80 / $287.33	Professional		$100.09	$197.80	$287.33
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $183.06 / $183.06 / $183.06	Professional	54	$183.06	$183.06	$183.06
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 $127.81 / $174.09 / $247.20	Professional		$127.81	$174.09	$247.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $179.93 / $233.91 / $269.89	Facility		$179.93	$233.91	$269.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $191.56 / $211.67 / $287.33	Professional		$191.56	$211.67	$287.33
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 $166.65 / $222.33 / $379.10	Professional		$166.65	$222.33	$379.10
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 $158.41 / $208.68 / $361.56	Professional		$158.41	$208.68	$361.56