Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.30 / $543.00 / $5,634.00	Facility		$271.30	$543.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $203.48 / $221.07 / $370.02	Facility	54	$203.48	$221.07	$370.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $292.45 / $397.93	Professional		$250.00	$292.45	$397.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $277.33 / $344.08 / $388.27	Professional		$277.33	$344.08	$388.27
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 $210.57 / $263.22 / $363.24	Professional		$210.57	$263.22	$363.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $274.04 / $376.14 / $564.21	Facility		$274.04	$376.14	$564.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $291.93 / $364.91 / $525.48	Professional		$291.93	$364.91	$525.48
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 $258.66 / $341.57 / $583.84	Professional		$258.66	$341.57	$583.84
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 $246.12 / $333.47 / $564.78	Professional		$246.12	$333.47	$564.78