Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.83 / $318.38 / $2,747.00	Facility		$257.83	$318.38	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $179.12 / $221.00 / $238.79	Facility	54	$179.12	$221.00	$238.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.83 / $288.02 / $396.71	Professional		$238.83	$288.02	$396.71
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 $191.33 / $226.83 / $355.42	Professional		$191.33	$226.83	$355.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $265.06 / $375.03 / $432.63	Facility		$265.06	$375.03	$432.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.67 / $375.03 / $568.32	Professional		$294.67	$375.03	$568.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.50 / $492.90 / $492.90	Facility		$310.50	$492.90	$492.90
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $345.03 / $345.03 / $345.03	Facility	54	$345.03	$345.03	$345.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.45 / $382.80 / $557.00	Professional		$272.45	$382.80	$557.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $85.72 / $318.38	Professional		$32.34	$85.72	$318.38
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 $252.91 / $358.85 / $558.51	Professional		$252.91	$358.85	$558.51