Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.78 / $1,773.00 / $5,634.00	Facility		$635.78	$1,773.00	$5,634.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $476.84 / $476.84 / $783.30	Facility	54	$476.84	$476.84	$783.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,747.00	Facility		$1,636.00	$3,840.00	$7,747.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.35 / $865.19 / $1,297.79	Facility		$630.35	$865.19	$1,297.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.45 / $1,123.45 / $1,331.74	Facility		$1,123.45	$1,123.45	$1,331.74
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