Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.74 / $609.05 / $5,634.00	Facility		$363.74	$609.05	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $272.81 / $275.81 / $456.79	Facility	54	$272.81	$275.81	$456.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.01 / $367.75 / $496.46	Professional		$328.01	$367.75	$496.46
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 $321.07 / $489.20 / $675.09	Professional		$321.07	$489.20	$675.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $364.56 / $500.37 / $750.56	Facility		$364.56	$500.37	$750.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $360.39 / $450.49 / $648.71	Professional		$360.39	$450.49	$648.71
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 $382.18 / $479.80 / $778.93	Professional		$382.18	$479.80	$778.93
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 $311.79 / $415.96 / $753.68	Professional		$311.79	$415.96	$753.68