Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.77 / $353.43 / $2,747.00	Facility		$258.77	$353.43	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $179.24 / $221.15 / $265.07	Facility	54	$179.24	$221.15	$265.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.98 / $298.73 / $444.47	Professional		$238.98	$298.73	$444.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $277.33 / $277.33 / $344.08	Professional		$277.33	$277.33	$344.08
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 $196.33 / $241.03 / $358.65	Professional		$196.33	$241.03	$358.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $264.97 / $375.28 / $432.92	Facility		$264.97	$375.28	$432.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.02 / $375.28 / $569.79	Professional		$262.02	$375.28	$569.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.58 / $493.23 / $493.23	Facility		$280.58	$493.23	$493.23
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $345.26 / $345.26 / $345.26	Facility	54	$345.26	$345.26	$345.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.64 / $385.29 / $568.90	Professional		$272.64	$385.29	$568.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $82.07 / $319.20	Professional		$32.34	$82.07	$319.20
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 $256.38 / $390.78 / $607.60	Professional		$256.38	$390.78	$607.60