Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.30 / $306.73 / $2,747.00	Facility		$168.30	$306.73	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $118.81 / $147.71 / $156.83	Facility	54	$118.81	$147.71	$156.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $194.35 / $328.95	Professional		$158.41	$194.35	$328.95
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $118.81 / $144.00 / $159.22	Professional	54	$118.81	$144.00	$159.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $181.98 / $249.03	Professional		$100.09	$181.98	$249.03
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 $120.30 / $145.99 / $234.62	Professional		$120.30	$145.99	$234.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.28 / $250.66 / $289.14	Facility		$177.28	$250.66	$289.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.66 / $250.66 / $380.20	Professional		$197.66	$250.66	$380.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.53 / $329.43 / $329.43	Facility		$205.53	$329.43	$329.43
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $230.60 / $230.60 / $230.60	Facility	54	$230.60	$230.60	$230.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.09 / $248.35 / $361.58	Professional		$169.09	$248.35	$361.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.05 / $209.11	Professional		$32.34	$50.05	$209.11
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 $163.41 / $230.75 / $360.54	Professional		$163.41	$230.75	$360.54