Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.03 / $379.88 / $5,634.00	Facility		$200.03	$379.88	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $150.02 / $170.86 / $284.91	Facility	54	$150.02	$170.86	$284.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.78 / $213.03 / $307.54	Professional		$177.78	$213.03	$307.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.93 / $266.93 / $280.98	Professional		$266.93	$266.93	$280.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.76 / $199.11 / $282.73	Professional		$141.76	$199.11	$282.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.90 / $277.12 / $415.68	Facility		$201.90	$277.12	$415.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.78 / $269.74 / $404.61	Professional		$224.78	$269.74	$404.61
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 $214.25 / $273.77 / $455.27	Professional		$214.25	$273.77	$455.27
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 $191.77 / $249.60 / $437.28	Professional		$191.77	$249.60	$437.28