Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.13 / $860.00 / $10,123.29	Facility		$486.13	$860.00	$10,123.29
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $354.53 / $430.75 / $507.38	Facility	54	$354.53	$430.75	$507.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.75 / $570.89 / $778.72	Professional		$411.75	$570.89	$778.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $429.73 / $434.22 / $771.47	Professional		$429.73	$434.22	$771.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,288.00 / $4,045.00 / $11,262.00	Facility		$2,288.00	$4,045.00	$11,262.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.63 / $426.10 / $650.30	Professional		$351.63	$426.10	$650.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $428.64 / $601.62 / $687.57	Facility		$428.64	$601.62	$687.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $429.73 / $623.11 / $966.89	Professional		$429.73	$623.11	$966.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.79 / $790.70 / $1,117.44	Facility		$453.79	$790.70	$1,117.44
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 $414.09 / $655.62 / $2,226.41	Professional		$414.09	$655.62	$2,226.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $330.96	Professional		$32.34	$32.34	$330.96
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $529.20 / $691.22 / $1,092.27	Professional		$529.20	$691.22	$1,092.27