Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $416.87 / $7,585.78	Facility		$229.09	$416.87	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $457.09	Professional		$181.97	$269.15	$457.09
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $199.53 / $281.84 / $933.25	Professional	54	$199.53	$281.84	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $223.87	Professional		$165.96	$199.53	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $263.03	Professional		$131.83	$169.82	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $251.19 / $309.03	Facility		$190.55	$251.19	$309.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $309.03	Professional		$199.53	$245.47	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $354.81 / $354.81	Facility		$34.67	$354.81	$354.81
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	54	$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $1,513.56	Professional		$204.17	$309.03	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $389.05	Professional		$173.78	$234.42	$389.05