Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.62 / $540.14 / $3,740.00	Facility		$324.62	$540.14	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $243.47 / $298.58 / $405.11	Facility	54	$243.47	$298.58	$405.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.62 / $383.44 / $540.14	Professional		$324.62	$383.44	$540.14
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 $303.16 / $371.06 / $557.50	Professional		$303.16	$371.06	$557.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.04 / $506.67 / $584.48	Facility		$354.04	$506.67	$584.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $361.91 / $506.67 / $723.82	Professional		$361.91	$506.67	$723.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.49 / $665.91 / $665.91	Facility		$476.49	$665.91	$665.91
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $466.14 / $466.14 / $466.14	Facility	54	$466.14	$466.14	$466.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.80 / $528.87 / $795.69	Professional		$372.80	$528.87	$795.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $474.16	Professional		$32.34	$32.34	$474.16
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 $349.62 / $489.43 / $723.65	Professional		$349.62	$489.43	$723.65