Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.33 / $315.48 / $4,846.00	Facility		$292.33	$315.48	$4,846.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $219.25 / $236.61 / $393.31	Facility	54	$219.25	$236.61	$393.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.14 / $312.63 / $396.97	Professional		$259.14	$312.63	$396.97
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 $219.66 / $283.14 / $390.74	Professional		$219.66	$283.14	$390.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $293.99 / $403.52 / $605.28	Facility		$293.99	$403.52	$605.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $310.30 / $387.88 / $558.54	Professional		$310.30	$387.88	$558.54
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 $274.12 / $366.21 / $627.55	Professional		$274.12	$366.21	$627.55
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 $260.94 / $337.44 / $620.54	Professional		$260.94	$337.44	$620.54