Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.74 / $336.64 / $3,740.00	Facility		$239.74	$336.64	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $179.81 / $222.08 / $252.48	Facility	54	$179.81	$222.08	$252.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.47 / $291.99 / $394.19	Professional		$247.47	$291.99	$394.19
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 $197.09 / $239.90 / $360.64	Professional		$197.09	$239.90	$360.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $265.48 / $376.87 / $434.74	Facility		$265.48	$376.87	$434.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.99 / $376.87 / $576.96	Professional		$281.99	$376.87	$576.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.49 / $495.31 / $495.31	Facility		$331.49	$495.31	$495.31
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $346.72 / $346.72 / $346.72	Facility	54	$346.72	$346.72	$346.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.44 / $388.41 / $560.71	Professional		$269.44	$388.41	$560.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $91.08 / $317.33	Professional		$32.34	$91.08	$317.33
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 $259.63 / $364.83 / $561.09	Professional		$259.63	$364.83	$561.09