Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.79 / $504.83 / $2,747.00	Facility		$256.79	$504.83	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $181.27 / $223.58 / $328.58	Facility	54	$181.27	$223.58	$328.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.08 / $320.99 / $518.08	Professional		$262.08	$320.99	$518.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.70 / $189.70 / $275.61	Professional		$189.70	$189.70	$275.61
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 $254.71 / $308.64 / $401.80	Professional		$254.71	$308.64	$401.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $268.47 / $379.40 / $437.67	Facility		$268.47	$379.40	$437.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.27 / $379.40 / $575.48	Professional		$281.27	$379.40	$575.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.39 / $498.64 / $498.64	Facility		$364.39	$498.64	$498.64
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $349.05 / $349.05 / $349.05	Facility	54	$349.05	$349.05	$349.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.19 / $434.24 / $628.32	Professional		$293.19	$434.24	$628.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $374.06	Professional		$32.34	$32.34	$374.06
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 $288.39 / $412.02 / $604.75	Professional		$288.39	$412.02	$604.75