Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $543.00 / $5,634.00	Facility		$218.06	$543.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $163.55 / $176.05 / $294.27	Facility	54	$163.55	$176.05	$294.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $231.72 / $346.07	Professional		$200.62	$231.72	$346.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $308.79 / $323.66 / $348.26	Professional		$308.79	$323.66	$348.26
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 $154.83 / $215.87 / $306.52	Professional		$154.83	$215.87	$306.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $220.09 / $302.08 / $453.12	Facility		$220.09	$302.08	$453.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $232.17 / $278.60 / $417.90	Professional		$232.17	$278.60	$417.90
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 $228.53 / $293.89 / $483.30	Professional		$228.53	$293.89	$483.30
United Facility/Professional Facility Modifier Low / Median / High Price $201.04 / $2,161.00 / $4,426.00	Facility		$201.04	$2,161.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.74 / $264.77 / $487.49	Professional		$200.74	$264.77	$487.49