Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.79 / $347.47 / $1,378.00	Facility		$242.79	$347.47	$1,378.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $166.48 / $206.60 / $260.60	Facility	54	$166.48	$206.60	$260.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.78 / $268.52 / $370.53	Professional		$208.78	$268.52	$370.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $313.02 / $313.02 / $313.02	Professional		$313.02	$313.02	$313.02
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 $177.20 / $220.27 / $332.44	Professional		$177.20	$220.27	$332.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.72 / $350.59 / $404.43	Facility		$245.72	$350.59	$404.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $250.42 / $350.59 / $500.84	Professional		$250.42	$350.59	$500.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.14 / $460.77 / $460.77	Facility		$342.14	$460.77	$460.77
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $322.54 / $322.54 / $322.54	Facility	54	$322.54	$322.54	$322.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.50 / $346.80 / $523.21	Professional		$247.50	$346.80	$523.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $356.16	Professional		$32.34	$32.34	$356.16
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 $233.28 / $335.34 / $519.80	Professional		$233.28	$335.34	$519.80