Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.08 / $374.38 / $3,740.00	Facility		$257.08	$374.38	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $192.81 / $239.04 / $280.79	Facility	54	$192.81	$239.04	$280.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.08 / $305.93 / $427.20	Professional		$257.08	$305.93	$427.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $373.87 / $373.87 / $373.87	Professional		$373.87	$373.87	$373.87
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 $221.48 / $269.39 / $393.81	Professional		$221.48	$269.39	$393.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $286.48 / $405.65 / $467.95	Facility		$286.48	$405.65	$467.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $318.73 / $405.65 / $626.02	Professional		$318.73	$405.65	$626.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.44 / $533.14 / $533.14	Facility		$306.44	$533.14	$533.14
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $373.20 / $373.20 / $373.20	Facility	54	$373.20	$373.20	$373.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.82 / $417.97 / $617.83	Professional		$298.82	$417.97	$617.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $98.31 / $344.31	Professional		$32.34	$98.31	$344.31
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 $283.43 / $425.40 / $623.91	Professional		$283.43	$425.40	$623.91