Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.89 / $577.15 / $5,634.00	Facility		$317.89	$577.15	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $238.42 / $258.56 / $432.86	Facility	54	$238.42	$258.56	$432.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.70 / $343.51 / $465.41	Professional		$290.70	$343.51	$465.41
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 $242.33 / $307.75 / $424.69	Professional		$242.33	$307.75	$424.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $320.66 / $440.12 / $660.18	Facility		$320.66	$440.12	$660.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $341.51 / $409.81 / $614.72	Professional		$341.51	$409.81	$614.72
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 $295.30 / $394.15 / $681.42	Professional		$295.30	$394.15	$681.42
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 $289.68 / $381.54 / $708.58	Professional		$289.68	$381.54	$708.58