Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.09 / $2,318.00 / $10,985.00	Facility		$842.09	$2,318.00	$10,985.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $631.57 / $631.57 / $1,032.42	Facility	54	$631.57	$631.57	$1,032.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.85 / $894.62 / $1,136.82	Professional		$832.85	$894.62	$1,136.82
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $126.31 / $134.19 / $170.52	Professional	55	$126.31	$134.19	$170.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $814.53 / $814.53 / $814.53	Professional		$814.53	$814.53	$814.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,962.00 / $6,580.53 / $11,503.00	Facility		$2,962.00	$6,580.53	$11,503.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.21 / $1,106.80 / $1,491.08	Professional		$804.21	$1,106.80	$1,491.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $814.53 / $1,090.46 / $1,649.43	Facility		$814.53	$1,090.46	$1,649.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $814.53 / $1,018.16 / $1,466.16	Professional		$814.53	$1,018.16	$1,466.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $999.42 / $1,627.38	Facility		$800.00	$999.42	$1,627.38
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $698.63 / $698.63 / $698.63	Facility	54	$698.63	$698.63	$698.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.57 / $1,049.33 / $1,670.31	Professional		$696.57	$1,049.33	$1,670.31
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 $781.88 / $979.63 / $1,702.91	Professional		$781.88	$979.63	$1,702.91