Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.62 / $181.16 / $4,846.00	Facility		$179.62	$181.16	$4,846.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $134.72 / $135.87 / $229.90	Facility	54	$134.72	$135.87	$229.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $181.16 / $254.18	Professional		$151.78	$181.16	$254.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.32 / $212.90 / $278.88	Professional		$170.32	$212.90	$278.88
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 $135.35 / $174.87 / $241.32	Professional		$135.35	$174.87	$241.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.38 / $235.79 / $272.07	Facility		$181.38	$235.79	$272.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $179.29 / $215.15 / $268.94	Professional		$179.29	$215.15	$268.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.76 / $167.76 / $198.87	Facility		$167.76	$167.76	$198.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $217.34 / $353.03	Professional		$169.33	$217.34	$353.03
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 $148.38 / $197.31 / $340.02	Professional		$148.38	$197.31	$340.02