Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.80 / $552.26 / $5,634.00	Facility		$306.80	$552.26	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $230.10 / $247.93 / $414.19	Facility	54	$230.10	$247.93	$414.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.82 / $325.18 / $446.27	Professional		$281.82	$325.18	$446.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $412.88 / $412.88 / $412.88	Professional		$412.88	$412.88	$412.88
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 $243.21 / $299.69 / $425.55	Professional		$243.21	$299.69	$425.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $308.98 / $424.09 / $636.14	Facility		$308.98	$424.09	$636.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $326.77 / $392.14 / $588.21	Professional		$326.77	$392.14	$588.21
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 $316.52 / $396.29 / $675.36	Professional		$316.52	$396.29	$675.36
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 $277.12 / $366.78 / $649.79	Professional		$277.12	$366.78	$649.79