Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.69 / $543.00 / $5,634.00	Facility		$290.69	$543.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $218.02 / $226.82 / $375.42	Facility	54	$218.02	$226.82	$375.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.11 / $302.42 / $408.27	Professional		$257.11	$302.42	$408.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $298.97 / $298.97 / $298.97	Professional		$298.97	$298.97	$298.97
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 $229.92 / $286.85 / $407.32	Professional		$229.92	$286.85	$407.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $292.68 / $401.72 / $602.58	Facility		$292.68	$401.72	$602.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $296.19 / $355.43 / $533.15	Professional		$296.19	$355.43	$533.15
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 $299.93 / $371.28 / $624.09	Professional		$299.93	$371.28	$624.09
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 $254.46 / $328.41 / $595.58	Professional		$254.46	$328.41	$595.58