Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.46 / $345.20 / $5,634.00	Facility		$194.46	$345.20	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $145.85 / $155.11 / $258.89	Facility	54	$145.85	$155.11	$258.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.61 / $206.62 / $404.35	Professional		$175.61	$206.62	$404.35
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $135.19 / $153.41 / $209.39	Professional	54	$135.19	$153.41	$209.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.05 / $213.45 / $285.97	Professional		$194.05	$213.45	$285.97
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 $139.28 / $193.57 / $274.86	Professional		$139.28	$193.57	$274.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.93 / $241.16 / $277.32	Facility		$192.93	$241.16	$277.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.26 / $245.11 / $291.18	Professional		$204.26	$245.11	$291.18
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 $198.81 / $254.97 / $425.11	Professional		$198.81	$254.97	$425.11
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 $176.63 / $232.70 / $417.95	Professional		$176.63	$232.70	$417.95