Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.91 / $591.73 / $3,740.00	Facility		$399.91	$591.73	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $299.93 / $367.03 / $443.80	Facility	54	$299.93	$367.03	$443.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.91 / $468.81 / $591.73	Professional		$399.91	$468.81	$591.73
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 $359.83 / $437.75 / $642.26	Professional		$359.83	$437.75	$642.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $435.74 / $622.85 / $718.50	Facility		$435.74	$622.85	$718.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $442.09 / $622.85 / $904.54	Professional		$442.09	$622.85	$904.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.69 / $818.60 / $818.60	Facility		$529.69	$818.60	$818.60
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $573.02 / $573.02 / $573.02	Facility	54	$573.02	$573.02	$573.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.58 / $642.85 / $966.71	Professional		$459.58	$642.85	$966.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $587.95	Professional		$32.34	$32.34	$587.95
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 $425.76 / $601.66 / $970.70	Professional		$425.76	$601.66	$970.70