Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.00 / $278.52 / $2,000.00	Facility		$208.00	$278.52	$2,000.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $187.33 / $205.85 / $346.18	Facility	54	$187.33	$205.85	$346.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.74 / $271.61 / $347.47	Professional		$221.74	$271.61	$347.47
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 $192.84 / $247.33 / $341.31	Professional		$192.84	$247.33	$341.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.37 / $322.88 / $372.56	Facility		$248.37	$322.88	$372.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $273.12 / $327.74 / $409.68	Professional		$273.12	$327.74	$409.68
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 $245.73 / $316.97 / $528.29	Professional		$245.73	$316.97	$528.29
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 $225.27 / $290.36 / $519.80	Professional		$225.27	$290.36	$519.80