Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.88 / $414.01 / $2,747.00	Facility		$220.88	$414.01	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $154.53 / $192.23 / $221.69	Facility	54	$154.53	$192.23	$221.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.04 / $252.07 / $406.43	Professional		$206.04	$252.07	$406.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.92 / $198.90 / $307.30	Professional		$165.92	$198.90	$307.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $230.40 / $326.20 / $376.30	Facility		$230.40	$326.20	$376.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $256.30 / $326.20 / $498.34	Professional		$256.30	$326.20	$498.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.05 / $428.72 / $428.72	Facility		$291.05	$428.72	$428.72
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $300.10 / $300.10 / $300.10	Facility	54	$300.10	$300.10	$300.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.34 / $327.64 / $488.14	Professional		$233.34	$327.64	$488.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $75.79 / $274.08	Professional		$32.34	$75.79	$274.08
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 $216.89 / $305.26 / $478.12	Professional		$216.89	$305.26	$478.12