Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.78 / $736.56 / $3,740.00	Facility		$417.78	$736.56	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $313.33 / $383.60 / $443.51	Facility	54	$313.33	$383.60	$443.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.78 / $494.54 / $632.50	Professional		$417.78	$494.54	$632.50
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 $382.17 / $464.19 / $644.64	Professional		$382.17	$464.19	$644.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $454.98 / $650.96 / $750.92	Facility		$454.98	$650.96	$750.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $650.96 / $979.88	Professional		$422.89	$650.96	$979.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.46 / $855.54 / $855.54	Facility		$512.46	$855.54	$855.54
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $598.88 / $598.88 / $598.88	Facility	54	$598.88	$598.88	$598.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.84 / $682.33 / $977.36	Professional		$495.84	$682.33	$977.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $636.91	Professional		$32.34	$32.34	$636.91
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 $451.58 / $645.12 / $969.23	Professional		$451.58	$645.12	$969.23