Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.20 / $543.00 / $5,634.00	Facility		$275.20	$543.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $206.41 / $219.84 / $367.71	Facility	54	$206.41	$219.84	$367.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.52 / $314.37 / $467.24	Professional		$269.52	$314.37	$467.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.61 / $377.14 / $435.17	Professional		$275.61	$377.14	$435.17
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 $225.09 / $264.82 / $396.68	Professional		$225.09	$264.82	$396.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $277.97 / $392.39 / $572.29	Facility		$277.97	$392.39	$572.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $290.11 / $362.64 / $522.20	Professional		$290.11	$362.64	$522.20
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 $296.99 / $404.46 / $630.21	Professional		$296.99	$404.46	$630.21
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 $260.60 / $345.38 / $617.78	Professional		$260.60	$345.38	$617.78