Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.19 / $514.04 / $5,634.00	Facility		$181.19	$514.04	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $135.88 / $150.02 / $251.73	Facility	54	$135.88	$150.02	$251.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $193.01 / $273.36	Professional		$164.59	$193.01	$273.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.67 / $188.67 / $235.83	Professional		$188.67	$188.67	$235.83
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 $130.16 / $181.84 / $258.20	Professional		$130.16	$181.84	$258.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.10 / $234.13 / $270.14	Facility		$180.10	$234.13	$270.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.60 / $238.32 / $297.89	Professional		$198.60	$238.32	$297.89
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 $195.69 / $250.17 / $414.24	Professional		$195.69	$250.17	$414.24
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 $172.01 / $225.63 / $407.92	Professional		$172.01	$225.63	$407.92