Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $580.00 / $5,634.00	Facility		$225.68	$580.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $169.26 / $171.35 / $283.79	Facility	54	$169.26	$171.35	$283.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.94 / $228.46 / $305.56	Professional		$198.94	$228.46	$305.56
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 $168.01 / $253.10 / $349.27	Professional		$168.01	$253.10	$349.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $226.86 / $311.37 / $467.06	Facility		$226.86	$311.37	$467.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.90 / $279.88 / $403.02	Professional		$223.90	$279.88	$403.02
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 $207.50 / $270.93 / $452.73	Professional		$207.50	$270.93	$452.73
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 $185.75 / $237.38 / $427.10	Professional		$185.75	$237.38	$427.10