Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.04 / $328.80 / $3,740.00	Facility		$247.04	$328.80	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $185.28 / $226.91 / $246.60	Facility	54	$185.28	$226.91	$246.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.04 / $289.30 / $461.26	Professional		$247.04	$289.30	$461.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.07 / $250.08 / $370.31	Professional		$202.07	$250.08	$370.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $268.89 / $385.06 / $444.18	Facility		$268.89	$385.06	$444.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.04 / $385.06 / $550.08	Professional		$275.04	$385.06	$550.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.41 / $506.07 / $506.07	Facility		$274.41	$506.07	$506.07
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $354.25 / $354.25 / $354.25	Facility	54	$354.25	$354.25	$354.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.33 / $391.08 / $575.53	Professional		$274.33	$391.08	$575.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $373.04	Professional		$32.34	$32.34	$373.04
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.18 / $349.20 / $559.91	Professional		$251.18	$349.20	$559.91