Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.36 / $627.60 / $3,740.00	Facility		$380.36	$627.60	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $285.27 / $349.21 / $470.70	Facility	54	$285.27	$349.21	$470.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.34 / $461.16 / $627.60	Professional		$382.34	$461.16	$627.60
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 $351.08 / $437.42 / $648.40	Professional		$351.08	$437.42	$648.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $414.84 / $592.59 / $683.60	Facility		$414.84	$592.59	$683.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $413.76 / $592.59 / $941.30	Professional		$413.76	$592.59	$941.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $534.91 / $778.84 / $778.84	Facility		$534.91	$778.84	$778.84
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $545.19 / $545.19 / $545.19	Facility	54	$545.19	$545.19	$545.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.29 / $629.41 / $920.95	Professional		$437.29	$629.41	$920.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $611.85	Professional		$32.34	$32.34	$611.85
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 $437.38 / $606.80 / $920.81	Professional		$437.38	$606.80	$920.81