Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.88 / $960.00 / $3,740.00	Facility		$398.88	$960.00	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $256.16 / $306.73 / $323.11	Facility	54	$256.16	$306.73	$323.11
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
CareSource Facility/Professional Facility Modifier Low / Median / High Price $372.76 / $532.08 / $613.79	Facility		$372.76	$532.08	$613.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.71 / $472.05 / $472.05	Facility		$402.71	$472.05	$472.05
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $328.83 / $328.83 / $328.83	Facility	54	$328.83	$328.83	$328.83
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00