Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.33 / $514.08 / $5,634.00	Facility		$118.33	$514.08	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $88.75 / $100.55 / $169.46	Facility	54	$88.75	$100.55	$169.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.09 / $132.15 / $199.25	Professional		$108.09	$132.15	$199.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.96 / $169.28 / $173.81	Professional		$134.96	$169.28	$173.81
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 $85.03 / $118.73 / $168.59	Professional		$85.03	$118.73	$168.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.26 / $165.06 / $247.59	Facility		$120.26	$165.06	$247.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.69 / $160.44 / $240.66	Professional		$133.69	$160.44	$240.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.68 / $135.68 / $160.83	Facility		$135.68	$135.68	$160.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.81 / $157.16 / $256.11	Professional		$119.81	$157.16	$256.11
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 $115.60 / $153.13 / $269.83	Professional		$115.60	$153.13	$269.83