Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.52 / $820.65 / $5,634.00	Facility		$468.52	$820.65	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $351.39 / $370.84 / $615.49	Facility	54	$351.39	$370.84	$615.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.65 / $494.45 / $642.78	Professional		$439.65	$494.45	$642.78
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 $394.56 / $465.03 / $660.34	Professional		$394.56	$465.03	$660.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $468.53 / $643.08 / $964.62	Facility		$468.53	$643.08	$964.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $485.59 / $606.99 / $874.07	Professional		$485.59	$606.99	$874.07
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 $487.77 / $598.03 / $1,016.00	Professional		$487.77	$598.03	$1,016.00
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 $423.40 / $560.92 / $969.22	Professional		$423.40	$560.92	$969.22