Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.05 / $543.00 / $5,634.00	Facility		$292.05	$543.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $219.04 / $237.33 / $399.06	Facility	54	$219.04	$237.33	$399.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.56 / $308.48 / $425.93	Professional		$270.56	$308.48	$425.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $322.70 / $373.87 / $373.87	Professional		$322.70	$373.87	$373.87
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 $230.44 / $288.06 / $402.31	Professional		$230.44	$288.06	$402.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $296.19 / $406.53 / $609.79	Facility		$296.19	$406.53	$609.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $314.83 / $393.55 / $566.72	Professional		$314.83	$393.55	$566.72
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 $294.66 / $373.24 / $630.74	Professional		$294.66	$373.24	$630.74
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 $266.79 / $345.02 / $628.66	Professional		$266.79	$345.02	$628.66