Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.79 / $369.56 / $3,740.00	Facility		$252.79	$369.56	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $189.59 / $233.59 / $277.17	Facility	54	$189.59	$233.59	$277.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.79 / $305.55 / $436.25	Professional		$252.79	$305.55	$436.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $291.62 / $291.62 / $291.62	Professional		$291.62	$291.62	$291.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.48 / $259.14 / $379.27	Professional		$211.48	$259.14	$379.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.60 / $396.40 / $457.27	Facility		$279.60	$396.40	$457.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $298.68 / $396.40 / $599.94	Professional		$298.68	$396.40	$599.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.29 / $520.98 / $520.98	Facility		$297.29	$520.98	$520.98
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $364.69 / $364.69 / $364.69	Facility	54	$364.69	$364.69	$364.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.17 / $408.72 / $601.98	Professional		$288.17	$408.72	$601.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $101.66 / $336.11	Professional		$32.34	$101.66	$336.11
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 $265.41 / $379.16 / $590.50	Professional		$265.41	$379.16	$590.50