Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.80 / $2,829.06 / $17,225.00	Facility		$1,100.80	$2,829.06	$17,225.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $825.60 / $825.60 / $1,355.49	Facility	54	$825.60	$825.60	$1,355.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,090.66 / $1,172.77 / $1,486.08	Professional		$1,090.66	$1,172.77	$1,486.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,069.42 / $1,069.42 / $1,069.42	Professional		$1,069.42	$1,069.42	$1,069.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.00 / $9,518.00 / $26,304.00	Facility		$1,429.00	$9,518.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,030.61 / $1,301.28 / $1,805.36	Professional		$1,030.61	$1,301.28	$1,805.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,069.42 / $1,431.69 / $2,165.58	Facility		$1,069.42	$1,431.69	$2,165.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,069.42 / $1,336.78 / $1,924.95	Professional		$1,069.42	$1,336.78	$1,924.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,311.10 / $2,806.76	Facility		$450.00	$1,311.10	$2,806.76
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $913.68 / $913.68 / $913.68	Facility	54	$913.68	$913.68	$913.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.01 / $1,298.63 / $2,084.37	Professional		$846.01	$1,298.63	$2,084.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,998.00 / $9,550.00 / $15,750.00	Facility		$2,998.00	$9,550.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $992.56 / $1,274.42 / $2,181.82	Professional		$992.56	$1,274.42	$2,181.82