Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.48 / $517.42 / $2,747.00	Facility		$293.48	$517.42	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $197.07 / $243.26 / $271.58	Facility	54	$197.07	$243.26	$271.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.92 / $323.91 / $402.87	Professional		$256.92	$323.91	$402.87
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 $215.73 / $254.15 / $391.11	Professional		$215.73	$254.15	$391.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $291.43 / $412.80 / $476.20	Facility		$291.43	$412.80	$476.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.86 / $412.80 / $646.37	Professional		$294.86	$412.80	$646.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.81 / $542.54 / $542.54	Facility		$274.81	$542.54	$542.54
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $379.78 / $379.78 / $379.78	Facility	54	$379.78	$379.78	$379.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.08 / $425.78 / $621.48	Professional		$288.08	$425.78	$621.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $427.95	Professional		$32.34	$32.34	$427.95
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 $300.74 / $392.52 / $631.63	Professional		$300.74	$392.52	$631.63