Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,344.23 / $5,623.41	Facility		$199.53	$2,344.23	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $288.40	Professional		$107.15	$138.04	$288.40
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $74.13 / $141.25 / $245.47	Professional	54	$74.13	$141.25	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $114.82 / $134.90	Professional		$107.15	$114.82	$134.90
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $38.02 / $77.62 / $234.42	Professional	54	$38.02	$77.62	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $190.55	Professional		$81.28	$114.82	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $125.89 / $141.25	Facility		$114.82	$125.89	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $128.82	Facility		$107.15	$107.15	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $234.42	Professional		$117.49	$141.25	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,137.96 / $5,754.40	Facility		$199.53	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $218.78	Professional		$97.72	$123.03	$218.78