Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.51 / $458.40 / $5,320.00	Facility		$287.51	$458.40	$5,320.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $192.79 / $237.44 / $288.39	Facility	54	$192.79	$237.44	$288.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.24 / $324.24 / $527.60	Professional		$258.24	$324.24	$527.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.43 / $257.36 / $392.68	Professional		$217.43	$257.36	$392.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.18 / $402.93 / $464.82	Facility		$283.18	$402.93	$464.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $314.05 / $402.93 / $642.55	Professional		$314.05	$402.93	$642.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.62 / $529.57 / $529.57	Facility		$378.62	$529.57	$529.57
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $370.70 / $370.70 / $370.70	Facility	54	$370.70	$370.70	$370.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.94 / $422.84 / $618.11	Professional		$292.94	$422.84	$618.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $93.24 / $353.41	Professional		$32.34	$93.24	$353.41
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 $289.70 / $417.82 / $624.71	Professional		$289.70	$417.82	$624.71