Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.42 / $560.46 / $5,634.00	Facility		$298.42	$560.46	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $223.82 / $251.14 / $420.34	Facility	54	$223.82	$251.14	$420.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.31 / $324.83 / $442.28	Professional		$274.31	$324.83	$442.28
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 $222.19 / $288.42 / $398.01	Professional		$222.19	$288.42	$398.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $301.45 / $413.76 / $620.64	Facility		$301.45	$413.76	$620.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.63 / $414.54 / $596.94	Professional		$331.63	$414.54	$596.94
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 $271.56 / $372.52 / $641.48	Professional		$271.56	$372.52	$641.48
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 $276.68 / $357.26 / $631.63	Professional		$276.68	$357.26	$631.63