Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.78 / $3,500.00 / $5,634.00	Facility		$165.78	$3,500.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $124.34 / $124.34 / $201.63	Facility	54	$124.34	$124.34	$201.63
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
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.26 / $222.71 / $334.07	Facility		$162.26	$222.71	$334.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.79 / $172.79 / $204.82	Facility		$172.79	$172.79	$204.82
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