Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.78 / $756.88 / $5,634.00	Facility		$448.78	$756.88	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $336.59 / $343.30 / $567.66	Facility	54	$336.59	$343.30	$567.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.46 / $457.73 / $612.53	Professional		$407.46	$457.73	$612.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,677.00 / $5,445.00	Facility		$1,636.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.24 / $511.22 / $705.48	Professional		$383.24	$511.22	$705.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.61 / $616.14 / $924.21	Facility		$467.61	$616.14	$924.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $447.86 / $559.83 / $806.15	Professional		$447.86	$559.83	$806.15
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 $460.47 / $559.30 / $954.01	Professional		$460.47	$559.30	$954.01
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 $386.87 / $523.41 / $896.71	Professional		$386.87	$523.41	$896.71