Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.54 / $824.00 / $5,634.00	Facility		$427.54	$824.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $320.66 / $357.71 / $594.41	Facility	54	$320.66	$357.71	$594.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.35 / $466.38 / $627.60	Professional		$413.35	$466.38	$627.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,747.00	Facility		$1,636.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.80 / $566.35 / $781.56	Professional		$371.80	$566.35	$781.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.54 / $586.82 / $880.23	Facility		$427.54	$586.82	$880.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $468.96 / $586.20 / $844.13	Professional		$468.96	$586.20	$844.13
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 $438.67 / $574.83 / $949.45	Professional		$438.67	$574.83	$949.45
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 $399.87 / $530.27 / $955.50	Professional		$399.87	$530.27	$955.50