Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.83 / $738.89 / $7,212.00	Facility		$403.83	$738.89	$7,212.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $302.87 / $333.89 / $554.16	Facility	54	$302.87	$333.89	$554.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.30 / $441.00 / $589.02	Professional		$389.30	$441.00	$589.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $5,126.00 / $8,240.00	Facility		$1,943.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.48 / $505.30 / $697.31	Professional		$350.48	$505.30	$697.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $404.28 / $554.89 / $832.34	Facility		$404.28	$554.89	$832.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $437.21 / $524.65 / $786.98	Professional		$437.21	$524.65	$786.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.45 / $1,123.45 / $1,331.74	Facility		$1,123.45	$1,123.45	$1,331.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.33 / $547.57 / $881.36	Professional		$428.33	$547.57	$881.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.46 / $503.37 / $864.94	Professional		$374.46	$503.37	$864.94