Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.04 / $234.60 / $2,747.00	Facility		$158.04	$234.60	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $118.53 / $147.38 / $175.95	Facility	54	$118.53	$147.38	$175.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.71 / $186.58 / $270.26	Professional		$153.71	$186.58	$270.26
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 $124.10 / $154.60 / $236.77	Professional		$124.10	$154.60	$236.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.75 / $252.87 / $291.70	Facility		$178.75	$252.87	$291.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.62 / $250.10 / $357.28	Professional		$180.62	$250.10	$357.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.31 / $224.31 / $231.00	Facility		$224.31	$224.31	$231.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $154.76 / $154.76 / $154.76	Facility	54	$154.76	$154.76	$154.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.81 / $246.49 / $371.74	Professional		$170.81	$246.49	$371.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $232.23	Professional		$32.34	$32.34	$232.23
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 $149.05 / $212.93 / $340.02	Professional		$149.05	$212.93	$340.02