Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.86 / $543.00 / $5,634.00	Facility		$276.86	$543.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $207.65 / $217.37 / $360.14	Facility	54	$207.65	$217.37	$360.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.04 / $288.77 / $386.81	Professional		$247.04	$288.77	$386.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,677.00 / $5,445.00	Facility		$1,636.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.94 / $266.18 / $377.97	Professional		$212.94	$266.18	$377.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $271.60 / $353.08 / $407.40	Facility		$271.60	$353.08	$407.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $340.96 / $426.20	Professional		$284.13	$340.96	$426.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.79 / $172.79 / $204.82	Facility		$172.79	$172.79	$204.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.79 / $338.22 / $577.98	Professional		$254.79	$338.22	$577.98
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.46 / $315.23 / $565.11	Professional		$241.46	$315.23	$565.11