Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.87 / $1,773.00 / $5,634.00	Facility		$438.87	$1,773.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $329.15 / $329.15 / $546.10	Facility	54	$329.15	$329.15	$546.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.35 / $438.87 / $592.47	Professional		$391.35	$438.87	$592.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,747.00	Facility		$1,636.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.34 / $537.00 / $741.06	Professional		$377.34	$537.00	$741.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.78 / $603.19 / $904.79	Facility		$457.78	$603.19	$904.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $430.85 / $538.55 / $775.53	Professional		$430.85	$538.55	$775.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.45 / $1,123.45 / $1,331.74	Facility		$1,123.45	$1,123.45	$1,331.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.06 / $566.20 / $931.50	Professional		$445.06	$566.20	$931.50
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 $372.46 / $505.03 / $946.01	Professional		$372.46	$505.03	$946.01