Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.54 / $3,500.00 / $6,651.00	Facility		$770.54	$3,500.00	$6,651.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $577.91 / $577.91 / $934.70	Facility	54	$577.91	$577.91	$934.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.56 / $836.45 / $1,221.36	Professional		$680.56	$836.45	$1,221.36
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $115.58 / $121.96 / $156.03	Professional	55	$115.58	$121.96	$156.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $516.21 / $516.21 / $737.44	Professional		$516.21	$516.21	$737.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,950.00 / $15,727.00	Facility		$1,682.00	$3,950.00	$15,727.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.16 / $866.20 / $1,166.94	Professional		$642.16	$866.20	$1,166.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $737.44 / $987.26 / $1,493.31	Facility		$737.44	$987.26	$1,493.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $737.44 / $921.80 / $1,327.40	Professional		$737.44	$921.80	$1,327.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.73 / $450.00 / $2,806.76	Facility		$356.73	$450.00	$2,806.76
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $640.44 / $640.44 / $640.44	Facility	54	$640.44	$640.44	$640.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.63 / $858.13 / $1,372.23	Professional		$591.63	$858.13	$1,372.23
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 $627.80 / $876.32 / $1,541.98	Professional		$627.80	$876.32	$1,541.98