Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.35 / $459.33 / $2,747.00	Facility		$262.35	$459.33	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $180.95 / $221.75 / $273.12	Facility	54	$180.95	$221.75	$273.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.26 / $299.17 / $489.88	Professional		$241.26	$299.17	$489.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.35 / $349.70 / $349.70	Professional		$323.35	$349.70	$349.70
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 $211.29 / $254.20 / $374.84	Professional		$211.29	$254.20	$374.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $268.79 / $362.87 / $443.50	Facility		$268.79	$362.87	$443.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $292.62 / $376.31 / $468.19	Professional		$292.62	$376.31	$468.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.38 / $494.57 / $494.57	Facility		$294.38	$494.57	$494.57
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $346.20 / $346.20 / $346.20	Facility	54	$346.20	$346.20	$346.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.44 / $392.97 / $583.42	Professional		$281.44	$392.97	$583.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $94.44 / $321.88	Professional		$32.34	$94.44	$321.88
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 $268.60 / $375.47 / $575.77	Professional		$268.60	$375.47	$575.77