Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.21 / $10,106.02 / $16,042.00	Facility		$581.21	$10,106.02	$16,042.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $435.91 / $435.91 / $782.43	Facility	54	$435.91	$435.91	$782.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.21 / $662.27 / $893.29	Professional		$581.21	$662.27	$893.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $563.66 / $563.66 / $563.66	Professional		$563.66	$563.66	$563.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $10,288.00 / $26,304.00	Facility		$2,310.00	$10,288.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $907.87 / $1,057.29 / $1,567.08	Professional		$907.87	$1,057.29	$1,567.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $682.04 / $1,099.16 / $1,310.54	Facility		$682.04	$1,099.16	$1,310.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,014.60 / $1,014.60 / $1,352.81	Professional		$1,014.60	$1,014.60	$1,352.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $692.33 / $2,806.76	Facility		$450.00	$692.33	$2,806.76
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $484.63 / $484.63 / $484.63	Facility	54	$484.63	$484.63	$484.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.75 / $1,065.98 / $1,501.43	Professional		$691.75	$1,065.98	$1,501.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,529.00 / $9,550.00 / $15,750.00	Facility		$2,529.00	$9,550.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $823.71 / $1,091.72 / $1,938.14	Professional		$823.71	$1,091.72	$1,938.14