Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.72 / $812.03 / $5,634.00	Facility		$451.72	$812.03	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $338.79 / $369.12 / $609.02	Facility	54	$338.79	$369.12	$609.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.83 / $492.16 / $660.20	Professional		$422.83	$492.16	$660.20
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 $383.43 / $451.10 / $648.16	Professional		$383.43	$451.10	$648.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $449.33 / $651.77 / $926.21	Facility		$449.33	$651.77	$926.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $480.49 / $576.59 / $864.89	Professional		$480.49	$576.59	$864.89
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 $482.68 / $626.98 / $1,028.26	Professional		$482.68	$626.98	$1,028.26
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 $417.56 / $560.39 / $1,001.48	Professional		$417.56	$560.39	$1,001.48