Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.35 / $787.00 / $3,740.00	Facility		$391.35	$787.00	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $293.51 / $359.58 / $406.90	Facility	54	$293.51	$359.58	$406.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.35 / $458.24 / $542.53	Professional		$391.35	$458.24	$542.53
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 $355.30 / $436.09 / $628.57	Professional		$355.30	$436.09	$628.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.67 / $610.19 / $703.89	Facility		$426.67	$610.19	$703.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $479.44 / $610.19 / $871.70	Professional		$479.44	$610.19	$871.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $534.22 / $539.75 / $539.75	Facility		$534.22	$539.75	$539.75
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $375.54 / $375.54 / $375.54	Facility	54	$375.54	$375.54	$375.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.06 / $618.40 / $876.42	Professional		$445.06	$618.40	$876.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $566.61	Professional		$32.34	$32.34	$566.61
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 $412.94 / $555.30 / $852.72	Professional		$412.94	$555.30	$852.72