Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.36 / $704.26 / $3,740.00	Facility		$404.36	$704.26	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $303.27 / $369.20 / $528.20	Facility	54	$303.27	$369.20	$528.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.00 / $486.53 / $704.26	Professional		$409.00	$486.53	$704.26
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 $373.11 / $453.08 / $706.81	Professional		$373.11	$453.08	$706.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.83 / $626.53 / $722.74	Facility		$436.83	$626.53	$722.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $492.68 / $626.53 / $971.08	Professional		$492.68	$626.53	$971.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.38 / $823.44 / $823.44	Facility		$602.38	$823.44	$823.44
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $576.41 / $576.41 / $576.41	Facility	54	$576.41	$576.41	$576.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.56 / $699.91 / $992.45	Professional		$495.56	$699.91	$992.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $631.20	Professional		$32.34	$32.34	$631.20
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 $465.53 / $689.07 / $968.53	Professional		$465.53	$689.07	$968.53