Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.45 / $340.41 / $2,747.00	Facility		$258.45	$340.41	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $193.84 / $237.99 / $261.05	Facility	54	$193.84	$237.99	$261.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.45 / $302.64 / $425.90	Professional		$258.45	$302.64	$425.90
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 $209.65 / $250.90 / $387.82	Professional		$209.65	$250.90	$387.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $284.52 / $403.86 / $465.88	Facility		$284.52	$403.86	$465.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $317.32 / $403.86 / $618.91	Professional		$317.32	$403.86	$618.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.74 / $530.78 / $530.78	Facility		$342.74	$530.78	$530.78
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $371.55 / $371.55 / $371.55	Facility	54	$371.55	$371.55	$371.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.64 / $414.14 / $586.53	Professional		$293.64	$414.14	$586.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $100.33 / $340.41	Professional		$32.34	$100.33	$340.41
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 $280.35 / $376.26 / $576.90	Professional		$280.35	$376.26	$576.90