Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.94 / $297.52 / $3,740.00	Facility		$198.94	$297.52	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $149.21 / $183.51 / $223.15	Facility	54	$149.21	$183.51	$223.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.94 / $230.81 / $304.67	Professional		$198.94	$230.81	$304.67
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 $153.79 / $191.90 / $292.45	Professional		$153.79	$191.90	$292.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $219.44 / $311.42 / $359.23	Facility		$219.44	$311.42	$359.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $244.68 / $311.42 / $447.70	Professional		$244.68	$311.42	$447.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.53 / $409.29 / $409.29	Facility		$215.53	$409.29	$409.29
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $286.50 / $286.50 / $286.50	Facility	54	$286.50	$286.50	$286.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.50 / $303.37 / $457.10	Professional		$207.50	$303.37	$457.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $291.01	Professional		$32.34	$32.34	$291.01
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 $200.85 / $266.75 / $427.10	Professional		$200.85	$266.75	$427.10