Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.31 / $543.00 / $5,634.00	Facility		$271.31	$543.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $203.48 / $218.99 / $366.55	Facility	54	$203.48	$218.99	$366.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.32 / $291.99 / $379.58	Professional		$250.32	$291.99	$379.58
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 $210.03 / $265.20 / $365.97	Professional		$210.03	$265.20	$365.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $274.29 / $376.47 / $564.71	Facility		$274.29	$376.47	$564.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $289.19 / $361.49 / $520.54	Professional		$289.19	$361.49	$520.54
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 $256.20 / $339.35 / $580.63	Professional		$256.20	$339.35	$580.63
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 $244.80 / $321.36 / $573.78	Professional		$244.80	$321.36	$573.78