Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.72 / $543.00 / $5,634.00	Facility		$245.72	$543.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $184.29 / $203.74 / $342.21	Facility	54	$184.29	$203.74	$342.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.28 / $264.77 / $366.12	Professional		$221.28	$264.77	$366.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.30 / $236.55 / $326.43	Professional		$186.30	$236.55	$326.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $249.53 / $342.50 / $513.75	Facility		$249.53	$342.50	$513.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.99 / $323.99 / $485.99	Professional		$269.99	$323.99	$485.99
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 $234.28 / $305.27 / $518.52	Professional		$234.28	$305.27	$518.52
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 $221.06 / $298.43 / $550.35	Professional		$221.06	$298.43	$550.35