Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.65 / $1,032.00 / $7,702.00	Facility		$888.65	$1,032.00	$7,702.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $666.48 / $690.71 / $722.11	Facility	54	$666.48	$690.71	$722.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.64 / $898.43 / $1,136.82	Professional		$782.64	$898.43	$1,136.82
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $126.81 / $138.13 / $170.04	Professional	55	$126.81	$138.13	$170.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $814.53 / $814.53 / $881.03	Professional		$814.53	$814.53	$881.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,315.00 / $3,619.00 / $8,421.00	Facility		$2,315.00	$3,619.00	$8,421.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.57 / $816.42 / $1,214.18	Professional		$683.57	$816.42	$1,214.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $804.95 / $1,131.00 / $1,292.58	Facility		$804.95	$1,131.00	$1,292.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $789.68 / $1,131.00 / $1,615.72	Professional		$789.68	$1,131.00	$1,615.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $817.22 / $999.42 / $5,217.00	Facility		$817.22	$999.42	$5,217.00
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 $746.66 / $1,083.04 / $1,880.40	Professional		$746.66	$1,083.04	$1,880.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $688.20	Professional		$32.34	$32.34	$688.20
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $755.13 / $925.34 / $1,518.60	Professional		$755.13	$925.34	$1,518.60