Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.63 / $543.00 / $5,634.00	Facility		$286.63	$543.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $214.97 / $232.57 / $389.08	Facility	54	$214.97	$232.57	$389.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.16 / $303.58 / $410.67	Professional		$262.16	$303.58	$410.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $291.62 / $291.62 / $460.46	Professional		$291.62	$291.62	$460.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,677.00 / $5,445.00	Facility		$1,636.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.69 / $278.37 / $394.24	Professional		$222.69	$278.37	$394.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $301.13 / $415.02 / $595.16	Facility		$301.13	$415.02	$595.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $306.97 / $368.36 / $552.54	Professional		$306.97	$368.36	$552.54
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 $285.64 / $369.03 / $618.36	Professional		$285.64	$369.03	$618.36
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 $258.58 / $343.17 / $590.88	Professional		$258.58	$343.17	$590.88