Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.86 / $1,386.00 / $7,212.00	Facility		$289.86	$1,386.00	$7,212.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $217.40 / $244.49 / $407.75	Facility	54	$217.40	$244.49	$407.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.58 / $314.75 / $440.07	Professional		$273.58	$314.75	$440.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $450.38 / $450.38 / $450.38	Professional		$450.38	$450.38	$450.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $3,896.00 / $8,230.00	Facility		$856.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.40 / $274.26 / $381.99	Professional		$219.40	$274.26	$381.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $286.51 / $372.46 / $435.17	Facility		$286.51	$372.46	$435.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $321.70 / $355.48 / $482.55	Professional		$321.70	$355.48	$482.55
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 $291.83 / $381.56 / $624.08	Professional		$291.83	$381.56	$624.08
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 $270.94 / $358.96 / $624.71	Professional		$270.94	$358.96	$624.71