Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.80 / $1,386.00 / $16,042.00	Facility		$445.80	$1,386.00	$16,042.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $334.35 / $469.79 / $757.91	Facility	54	$334.35	$469.79	$757.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.80 / $601.82 / $796.93	Professional		$445.80	$601.82	$796.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $434.22 / $434.22 / $651.33	Professional		$434.22	$434.22	$651.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,278.00 / $7,581.00 / $14,620.00	Facility		$3,278.00	$7,581.00	$14,620.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.69 / $566.80 / $763.60	Professional		$413.69	$566.80	$763.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $434.22 / $581.30 / $1,009.56	Facility		$434.22	$581.30	$1,009.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $597.95 / $747.44 / $1,076.31	Professional		$597.95	$747.44	$1,076.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $790.70 / $1,375.01	Facility		$630.00	$790.70	$1,375.01
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $553.49 / $553.49 / $553.49	Facility	54	$553.49	$553.49	$553.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.15 / $630.88 / $1,040.19	Professional		$441.15	$630.88	$1,040.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $5,995.00 / $10,413.00	Facility		$1,399.00	$5,995.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $535.47 / $699.26 / $1,175.66	Professional		$535.47	$699.26	$1,175.66