Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.20 / $8,761.68 / $13,419.91	Facility		$1,138.20	$8,761.68	$13,419.91
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $521.48 / $521.48 / $853.65	Facility	54	$521.48	$521.48	$853.65
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $104.30 / $104.30 / $170.73	Facility	55	$104.30	$104.30	$170.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.31 / $795.36 / $1,418.38	Professional		$695.31	$795.36	$1,418.38
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $521.48 / $556.25 / $704.00	Professional	54	$521.48	$556.25	$704.00
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $104.30 / $110.89 / $140.80	Professional	55	$104.30	$110.89	$140.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $471.45 / $673.49 / $895.75	Professional		$471.45	$673.49	$895.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,990.00 / $5,848.00 / $8,876.00	Facility		$2,990.00	$5,848.00	$8,876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $834.86 / $1,085.30 / $1,462.11	Professional		$834.86	$1,085.30	$1,462.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $673.49 / $875.54 / $1,313.31	Facility		$673.49	$875.54	$1,313.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $673.49 / $808.19 / $1,010.24	Professional		$673.49	$808.19	$1,010.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $826.04 / $1,046.66 / $1,627.38	Facility		$826.04	$1,046.66	$1,627.38
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $577.02 / $577.02 / $577.02	Facility	54	$577.02	$577.02	$577.02
Cigna Facility/Professional Facility Modifier 55 Low / Median / High Price $123.65 / $123.65 / $123.65	Facility	55	$123.65	$123.65	$123.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.23 / $991.84 / $1,600.00	Professional		$707.23	$991.84	$1,600.00
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 $711.54 / $940.58 / $1,606.71	Professional		$711.54	$940.58	$1,606.71