Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.66 / $312.22 / $3,740.00	Facility		$158.66	$312.22	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $119.00 / $147.35 / $234.17	Facility	54	$119.00	$147.35	$234.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.36 / $199.28 / $312.22	Professional		$162.36	$199.28	$312.22
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 $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 $108.83 / $153.13 / $258.70	Professional		$108.83	$153.13	$258.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.54 / $250.05 / $288.45	Facility		$177.54	$250.05	$288.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.47 / $250.05 / $392.40	Professional		$196.47	$250.05	$392.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.44 / $328.64 / $328.64	Facility		$307.44	$328.64	$328.64
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $230.05 / $230.05 / $230.05	Facility	54	$230.05	$230.05	$230.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.24 / $276.11 / $414.95	Professional		$197.24	$276.11	$414.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $64.81 / $215.82	Professional		$32.34	$64.81	$215.82
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 $184.23 / $270.14 / $389.95	Professional		$184.23	$270.14	$389.95