Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.20 / $314.77 / $2,747.00	Facility		$199.20	$314.77	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $131.83 / $162.57 / $240.38	Facility	54	$131.83	$162.57	$240.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.77 / $219.71 / $320.50	Professional		$175.77	$219.71	$320.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.93 / $266.93 / $266.93	Professional		$266.93	$266.93	$266.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.19 / $166.78 / $281.73	Professional		$116.19	$166.78	$281.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $195.23 / $275.87 / $318.23	Facility		$195.23	$275.87	$318.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $192.62 / $275.87 / $443.36	Professional		$192.62	$275.87	$443.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.58 / $362.57 / $362.57	Facility		$315.58	$362.57	$362.57
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $253.80 / $253.80 / $253.80	Facility	54	$253.80	$253.80	$253.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.71 / $300.58 / $452.27	Professional		$217.71	$300.58	$452.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $77.11 / $244.84	Professional		$32.34	$77.11	$244.84
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 $199.38 / $284.29 / $437.28	Professional		$199.38	$284.29	$437.28