Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.48 / $1,043.07 / $8,677.04	Facility		$633.48	$1,043.07	$8,677.04
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $459.49 / $475.11 / $716.37	Facility	54	$459.49	$475.11	$716.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.51 / $875.54 / $1,192.39	Professional		$617.51	$875.54	$1,192.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $696.20 / $696.20 / $696.20	Professional		$696.20	$696.20	$696.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,461.00 / $6,125.00 / $13,776.00	Facility		$3,461.00	$6,125.00	$13,776.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $729.80 / $907.87 / $1,248.03	Professional		$729.80	$907.87	$1,248.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $556.14 / $757.47 / $891.14	Facility		$556.14	$757.47	$891.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $506.56 / $779.74 / $1,113.92	Professional		$506.56	$779.74	$1,113.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.33 / $692.33 / $2,280.98	Facility		$692.33	$692.33	$2,280.98
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 $574.02 / $1,162.16 / $4,480.20	Professional		$574.02	$1,162.16	$4,480.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $857.76	Professional		$32.34	$32.34	$857.76
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $809.78 / $1,114.58 / $1,847.19	Professional		$809.78	$1,114.58	$1,847.19