Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.72 / $497.69 / $5,634.00	Facility		$273.72	$497.69	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $205.29 / $224.05 / $373.27	Facility	54	$205.29	$224.05	$373.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.78 / $294.23 / $471.99	Professional		$253.78	$294.23	$471.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $349.70 / $382.84 / $452.61	Professional		$349.70	$382.84	$452.61
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 $216.07 / $269.68 / $382.94	Professional		$216.07	$269.68	$382.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.43 / $350.26 / $545.60	Facility		$269.43	$350.26	$545.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.49 / $353.39 / $441.74	Professional		$294.49	$353.39	$441.74
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 $279.77 / $354.38 / $597.67	Professional		$279.77	$354.38	$597.67
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 $251.77 / $333.75 / $586.37	Professional		$251.77	$333.75	$586.37